Mr. Wade M. Green MA, NCC, LCPC
Mental Health Counselor in La Plata, MD(View on Map)
Full Name
Mr. Wade M Green MA, NCC, LCPC
NPI Number
1033221676
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/31/2006
Specialties
(Taxonomies)Licenses
State
Maryland
License Number
LC2196
Contact
Information
Purpose
Mailing
Location
Address
4665 PRESTANCIA PL APT 303
6100 RADIO STATION RD.
City
Waldorf
La Plata
State
MD
MD
Postal Code
20602-4131
20646
Country
US
US
Telephone Number
(301) 928-6045
(301) 609-9887
Identifiers
Identifier
521450501
521450500
Identifier State
MD
MD
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/02/2009