MS. Maxine Cecilia Green, LCSW
NPI #1013270933 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1013270933
- Entity Type
- Individual
- Name
- MS. Maxine Cecilia Green, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- Jun 18, 2012
- Last Updated
- Jun 18, 2012
Practice Location
- Address
- 1634 LONDON BLVD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-2137
- Phone
- (757) 393-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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