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Eric Todd Greene, LPCCSAC
Professional Counselor in Big Stone Gap, Virginia
NPI 1699813584

Eric Todd Greene is a Professional Counselor based in Gray, VA and is specialized in Professional. Eric Todd Greene practices in Big Stone Gap, VA and has the professional credentials of LPCCSAC. The NPI Number for Eric Todd Greene is 1699813584 and holds a License No. 0710101620 CSAC (Virginia).

The current practice location address for Eric Todd Greene is 43 Champions Avenue, Big Stone Gap, VA and can be reached out via phone at 276-523-8300 and via fax at 423-467-3644.

Location: 43 Champions Avenue, Big Stone Gap, VA, 37615-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699813584
Provider Name
Eric Todd Greene
Credential
LPCCSAC
Provider Entity Type
Individual
Gender
Male
Address
43 Champions Avenue, Big Stone Gap, VA, 37615-6205
Phone Number
276-523-8300
Fax Number
423-467-3644
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010149614 05 VA
institution
Provider Business Practice Location Address Details
Address
43 Champions Avenue
City
Big Stone Gap
State
Virginia
Zip
24219
Phone Number
276-523-8300
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
43 Champions Avenue
City
Big Stone Gap
State
Virginia
Zip
24219
Phone Number
276-523-8300
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0701003240 LPC (Virginia)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0710101620 CSAC (Virginia)
Definition
Definition to come...
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