Individual
SCOTT EDWARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 AIRLINE RD, ANDERSON, SC 29624-7624
(864) 340-0513
Mailing address
314 E HAMPTON AVE, HONEA PATH, SC 29654-2308
(606) 340-0513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
SC
101YP2500X
Professional Counselor
Primary
9390
SC
Other
Enumeration date
11/19/2015
Last updated
02/26/2024
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