Individual provider · Type 1 NPI

Jessica G. Green

Counselor · Conway, SC

NPI number 1518153428 Active

Practice location

164 Waccamaw Medical Park
Conway, SC 29526-8903

Mailing address

2715 Colonial Dr
Columbia, SC 29203-6818

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1518153428

Jessica G. Green's National Provider Identifier is 1518153428, issued on Sep 25, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Conway, SC. The record was last updated on May 4, 2021.