Individual
MS. NAILAH AKANKE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCADC, CCJP
Contact information
Practice address
220 BRYANT AVE, LAWNSIDE, NJ 08045-1108
(856) 655-8761
(856) 665-5571
Mailing address
220 BRYANT AVE, LAWNSIDE, NJ 08045-1108
(856) 655-8761
(856) 665-5571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37LC00168300
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00168300
NJ
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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