Organization
GREEN LIGHT COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON W STRACK LPC (OWNER/CEO)
(336) 274-1237
Entity
Organization
Contact information
Practice address
301 N ELM ST, STE 801, GREENSBORO, NC 27401-2083
(336) 274-1237
(336) 274-1236
Mailing address
301 N ELM ST, STE 801, GREENSBORO, NC 27401-2083
(336) 274-1237
(336) 274-1236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410070
—
NC
Enumeration date
10/18/2010
Last updated
01/30/2012
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