| Sharon Green | |
|
4201 Church Rd Suite 10 Mount Laurel NJ 08054-2231 | |
| (856) 793-7614 | |
| (856) 437-6345 |
| Full Name | Sharon Green |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4201 Church Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Sharon Green (OWNER) |
| Authorized Official Contact | 8567937614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Green 4201 Church Rd Suite 10 Mount Laurel NJ 08054-2231 Ph: (856) 793-7614 | Sharon Green 4201 Church Rd Suite 10 Mount Laurel NJ 08054-2231 Ph: (856) 793-7614 |
| NPI Number | 1699104018 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699104018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00137400 (New Jersey) | Primary |
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