Mr. James Matthew Green
Professional Counselor
1801 E 5th St Suite 108-B
Charlotte
, North Carolina 28204-2472
Mr. James Matthew Green
Professional Counselor
1801 E 5th St Suite 108-B
Charlotte
, North Carolina 28204-2472
(704) 375-2822
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Mr. James Matthew Green
- 1801 E 5th St Suite 108-B
- Charlotte, NC
- Zip : 28204-2472
- Phone : (704) 375-2822
Second Address
- Mr. James Matthew Green
- 1801 E 5th St Suite 108-B
- Charlotte, NC
- Zip : 28204-2472
- Phone : (704) 375-2822
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 862 | NC |
National Provider Identifier
| NPI | 1003890724 |
|---|---|
| Provider Name | Mr. James Matthew Green |
| First Address | Charlotte, NC 28204-2472 |
| Second Address | Charlotte, NC 28204-2472 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 27/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 37036 | BCBS (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.