person
Patica R. Green
NPI 1063845675

Patica R. Green is a Counselor based in Moncks Corner, SC. Patica R. Green practices in Moncks Corner, SC. The NPI Number for Patica R. Green is 1063845675 and holds a License No. (South Carolina).

The current practice location address for Patica R. Green is 403 Stony Landing Rd, Moncks Corner, SC and can be reached out via phone at 843-761-8282 and via fax at 843-761-7308. You can also correspond with Patica R. Green through the mailing address at P.O. BOX 1030, MONCKS CORNER, SC - 29461-3967 (mailing address contact number: 843-761-8282).

Location: 403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
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Provider Profile Details
NPI Number
1063845675
Provider Name
Patica R. Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
Provider Enumeration Date
08/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760596480 05 SC
institution
Provider Business Practice Location Address Details
Address
403 Stony Landing Rd
City
State
Zip
29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
person
Provider Business Mailing Address Details
Address
403 Stony Landing Rd
City
State
Zip
29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
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Definition
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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