Individual provider · Type 1 NPI
Wade M. Green Jr., MA, NCC, LCPC
Mental Health Counselor · La Plata, MD
NPI number
1033221676
Active
Practice location
6100 Radio Station Rd.
La Plata, MD 20646
Mailing address
4665 Prestancia Pl Apt 303
Waldorf, MD 20602-4131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LC2196 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1033221676
Wade M. Green Jr., MA, NCC, LCPC's National Provider Identifier is 1033221676, issued on Aug 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Plata, MD. The record was last updated on Jun 2, 2009.