Individual provider · Type 1 NPI
Charles Barrymore Greene Ii, LCADC
Addiction (Substance Use Disorder) Counselor · Camden, NJ
NPI number
1124297130
Active
Practice location
413 S Broadway
Camden, NJ 08103-1211
Fax (856) 338-1892
Mailing address
106 Country Ln
Sicklerville, NJ 08081-9312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00141700 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124297130
Charles Barrymore Greene Ii, LCADC's National Provider Identifier is 1124297130, issued on Feb 22, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Camden, NJ. The record was last updated on Feb 22, 2008.