Individual
DEBRA ANN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
8801 J M KEYNES DR, CHARLOTTE, NC 28262-8436
(704) 510-4287
Mailing address
5438 CRISFIELD ROAD, CHARLOTTE, NC 28269-8552
(347) 645-8375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
P004240
NC
Other
Enumeration date
09/08/2009
Last updated
07/21/2022
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