Individual
JESSICA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 SAMPSON AVE, PHILLIPSBURG, NJ 08865-4442
(908) 566-5247
Mailing address
812 SAMPSON AVE, PHILLIPSBURG, NJ 08865-4442
(908) 566-5247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00342500
NJ
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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