Individual
MRS. NICOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6707 WHITESTONE RD, 106, WOODLAWN, MD 21207-4106
(410) 265-8737
(410) 265-1258
Mailing address
6707 WHITESTONE RD, 106, WOODLAWN, MD 21207-4106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4253
MD
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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