NATHANIEL GREEN

WILMINGTON, NC
NPI1255787354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  lcas-3156)
Enumeration Date2016-05-06
Last Update Date2017-04-06
Business Address
-- NATHANIEL GREEN LCASA
2023 S 17TH ST
WILMINGTON, NC 28401-6600
Phone number: 910-632-2191
Mailing Address
-- NATHANIEL GREEN LCASA
2023 S 17TH ST
WILMINGTON, NC 28401-6600
Phone number: 910-632-2191
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