Individual provider · Type 1 NPI

Maxine Cecilia Green, LCSW

Mental Health Counselor · Portsmouth, VA

NPI number 1013270933 Active

Practice location

1634 London Blvd
Portsmouth, VA 23704-2137

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0904007774 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1013270933

Maxine Cecilia Green, LCSW's National Provider Identifier is 1013270933, issued on Jun 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portsmouth, VA. The record was last updated on Jun 18, 2012.