Individual
ANGEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MA, NCC, LPCA
Contact information
Practice address
5800 EXECUTIVE CENTER DR STE 100, CHARLOTTE, NC 28212-8859
(704) 227-0669
(704) 227-0690
Mailing address
5800 EXECUTIVE CENTER DR STE 100, CHARLOTTE, NC 28212-8859
(704) 227-0669
(704) 227-0690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9041
NC
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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