Tia Green
NPI #1760012314 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1760012314
- Entity Type
- Individual
- Name
- Tia Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 23, 2020
- Last Updated
- Jan 23, 2020
Practice Location
- Address
- 4437 MAIN ST
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4451
- Phone
- (910) 754-4449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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