Individual provider · Type 1 NPI

Carla Jay Green, LCAS-A

Addiction (Substance Use Disorder) Counselor · Winston Salem, NC

NPI number 1275151128 Active

Practice location

665 W 4th St
Winston Salem, NC 27101-2701

Fax (336) 725-6628

Mailing address

1730 Franciscan Ter Apt H
Winston Salem, NC 27127-7708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26024 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275151128

Carla Jay Green, LCAS-A's National Provider Identifier is 1275151128, issued on Jul 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 8, 2020.