Individual provider · Type 1 NPI

Aquanda Green, LCAS, LCMHC

Addiction (Substance Use Disorder) Counselor · Durham, NC

NPI number 1982162012 Active

Practice location

249 E Nc Highway 54 Ste 320
Durham, NC 27713-2490

Mailing address

115 Woodtrellis Ct
Durham, NC 27703-9612

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24361 (NC)
Mental Health Counselor 101YM0800X17294 (NC)

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About NPI 1982162012

Aquanda Green, LCAS, LCMHC's National Provider Identifier is 1982162012, issued on Mar 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Durham, NC. The record was last updated on Aug 21, 2024.