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Individual

MELODY GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1140 OPAL CT, HAGERSTOWN, MD 21740-5940
(240) 203-8784
(240) 203-8780
Mailing address
PO BOX 1312, HAGERSTOWN, MD 21741-1312
(240) 638-9134
(240) 203-8780

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC1887
MD
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
LC1887
MD
101YM0800X
Mental Health Counselor
Primary
LCPC
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013270500
MD
Enumeration date
04/21/2006
Last updated
04/27/2026
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