person
Ms. Freida Louise Green, MA,LPC,LCAS,NCC
Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina
NPI 1134325103

Freida Louise Green is an Addiction (Substance Use Disorder) Counselor based in Fayetteville, NC and is specialized in Addiction (Substance Use Disorder). Freida Louise Green practices in Fayetteville, NC and has the professional credentials of MA,LPC,LCAS,NCC. The NPI Number for Freida Louise Green is 1134325103 and holds a License No. 4421 (North Carolina).

The current practice location address for Freida Louise Green is 5602 Glenrock Dr, Fayetteville, NC and can be reached out via phone at 910-705-0631. You can also correspond with Freida Louise Green through the mailing address at 5602 GLENROCK DR, FAYETTEVILLE, NC - 28303-6005 (mailing address contact number: 910-705-0631).

Location: 5602 Glenrock Dr, Fayetteville, NC, 28303-6005
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Provider Profile Details
NPI Number
1134325103
Provider Name
Freida Louise Green
Credential
MA,LPC,LCAS,NCC
Provider Entity Type
Individual
Gender
Female
Address
5602 Glenrock Dr, Fayetteville, NC, 28303-6005
Phone Number
910-705-0631
Fax Number
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140JU 01 NC BLUE CROSS BLUE SHIELD
6102788 05 NC
institution
Provider Business Practice Location Address Details
Address
5602 Glenrock Dr
City
State
Zip
28303-6005
Phone Number
910-705-0631
Fax Number
person
Provider Business Mailing Address Details
Address
5602 Glenrock Dr
City
State
Zip
28303-6005
Phone Number
910-705-0631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
72715 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4421 (North Carolina)
Definition
Definition to come...
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