Individual
LINDA G GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACII, NCAC II
Contact information
Practice address
1423 WINYAH ST, GEORGETOWN, SC 29440-4730
(843) 546-6081
(843) 527-1697
Mailing address
389 BIG DAM SWAMP DR, ANDREWS, SC 29510-6127
(843) 221-4154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11022411
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11022411
SCAADAC CERTIFICATION
SC
Enumeration date
01/28/2013
Last updated
01/28/2013
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