Individual
DR. CHARLES GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DBH, LPC, NCC
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-3979
Mailing address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-3979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010556
GA
Other
Enumeration date
04/06/2018
Last updated
12/25/2018
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