Individual
MR. JAMES N. GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
4302 CLARKS VALLEY RD, SWORDS CREEK, VA 24649
(276) 991-0622
Mailing address
4302 CLARKS VALLEY RD, BOX 624, SWORDS CREEK, VA 24649
(276) 963-3554
(276) 964-4802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LVN-164X00000X
VA
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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