Individual
MELANI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
139 PINEHURST AVE STE A, SOUTHERN PINES, NC 28387-7099
(910) 725-1246
(803) 693-0829
Mailing address
2084 EDDIE MASSEY LN, ROCK HILL, SC 29730-0025
(803) 554-8638
(803) 693-0829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5613
SC
101YP2500X
Professional Counselor
Primary
8121
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1333
—
SC
Enumeration date
04/06/2011
Last updated
01/11/2016
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