person
Ms. Maxine Cecilia Green, LCSW
Mental Health Counselor in Portsmouth, Virginia
NPI 1013270933

Maxine Cecilia Green is a Mental Health Counselor based in Portsmouth, VA and is specialized in Mental Health. Maxine Cecilia Green practices in Portsmouth, VA and has the professional credentials of LCSW. The NPI Number for Maxine Cecilia Green is 1013270933 and holds a License No. 0904007774 (Virginia).

The current practice location address for Maxine Cecilia Green is 1634 London Blvd, Portsmouth, VA and can be reached out via phone at 757-393-7200.

Location: 1634 London Blvd, Portsmouth, VA, 23704-2137
person
Provider Profile Details
NPI Number
1013270933
Provider Name
Maxine Cecilia Green
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1634 London Blvd, Portsmouth, VA, 23704-2137
Phone Number
757-393-7200
Fax Number
Provider Enumeration Date
06/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1634 London Blvd
City
State
Zip
23704-2137
Phone Number
757-393-7200
Fax Number
person
Provider Business Mailing Address Details
Address
1634 London Blvd
City
State
Zip
23704-2137
Phone Number
757-393-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0904007774 (Virginia)
Definition
Definition to come...
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