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Martha L Green
Mental Health Counselor in Weldon, North Carolina
NPI 1740908326

Martha L Green is a Mental Health Counselor based in Weldon, NC and is specialized in Mental Health. Martha L Green practices in Weldon, NC. The NPI Number for Martha L Green is 1740908326 and holds a License No. 2081-2303-01 (North Carolina).

The current practice location address for Martha L Green is 3 E 4Th St, Weldon, NC and can be reached out via phone at 252-676-5701 and via fax at 252-678-8015.

Location: 3 E 4Th St, Weldon, NC, 27890-1520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740908326
Provider Name
Martha L Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
3 E 4Th St, Weldon, NC, 27890-1520
Phone Number
252-676-5701
Fax Number
252-678-8015
Provider Enumeration Date
08/18/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5005077 05 NC
institution
Provider Business Practice Location Address Details
Address
3 E 4Th St
City
Weldon
State
North Carolina
Zip
27890-1520
Phone Number
252-676-5701
Fax Number
252-678-8015
person
Provider Business Mailing Address Details
Address
3 E 4Th St
City
Weldon
State
North Carolina
Zip
27890-1520
Phone Number
252-676-5701
Fax Number
252-678-8015
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
5005077 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
2081-2303-01 (North Carolina)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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