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Mr. Wade M Green JR., MA,NCC,LCPC
Mental Health Counselor in La Plata, Maryland
NPI 1033221676

Wade M Green JR. is a Mental Health Counselor based in Waldorf, MD and is specialized in Mental Health. Wade M Green JR. practices in La Plata, MD and has the professional credentials of MA,NCC,LCPC. The NPI Number for Wade M Green JR. is 1033221676 and holds a License No. LC2196 (Maryland).

The current practice location address for Wade M Green JR. is 6100 Radio Station Rd., La Plata, MD and can be reached out via phone at 301-609-9887.

Location: 6100 Radio Station Rd., La Plata, MD, 20602-4131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033221676
Provider Name
Wade M Green JR.
Credential
MA,NCC,LCPC
Provider Entity Type
Individual
Gender
Male
Address
6100 Radio Station Rd., La Plata, MD, 20602-4131
Phone Number
301-609-9887
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
521450501 05 MD
521450500 05 MD
institution
Provider Business Practice Location Address Details
Address
6100 Radio Station Rd.
City
La Plata
State
Maryland
Zip
20646
Phone Number
301-609-9887
Fax Number
person
Provider Business Mailing Address Details
Address
6100 Radio Station Rd.
City
La Plata
State
Maryland
Zip
20646
Phone Number
301-609-9887
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LC2196 (Maryland)
Definition
Definition to come...
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