Individual
COBLAH Q GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3210 VICKERS RD, BALTIMORE, MD 21216-1940
(443) 413-0468
Mailing address
3210 VICKERS RD, BALTIMORE, MD 21216-1940
(443) 924-3754
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/14/2025
Last updated
07/29/2025
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