Individual
MRS. ADRIAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9428 JOHN RUSSELL RD, CHARLOTTE, NC 28215-7598
(704) 281-8803
Mailing address
9428 JOHN RUSSELL RD, CHARLOTTE, NC 28215-7598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C009299
NC
1041C0700X
Clinical Social Worker
Primary
C009299
NC
Other
Enumeration date
02/01/2018
Last updated
02/06/2018
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