J. Alex Green in Baltimore - Addiction (substance Use Disorder)

J. Alex Green - NPI 1295932143

J. Alex Green is a Addiction (substance Use Disorder) in Baltimore, Maryland. J. Alex Green practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for J. Alex Green is 1295932143. The last update date is 2016-05-30.

J. Alex Green's current location address is 1700 Meridene Dr, Baltimore, Maryland. You can contact this provider via phone number 4108082786 and fax number 4107156984. The mailing address for J. Alex Green is 1700 Meridene Dr, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name J. Alex Green
Address 1700 Meridene Dr, Baltimore, Maryland
Phone Number 4108082786
Fax Number 4107156984
Sole Proprietor Y
Credentials LCPC,LCADC

NPI Number Detail

NPI Number 1295932143
Provider Enumeration Date 2007-07-02
Last Updated Date 2016-05-30

Provider Mailing Address Detail

Address 1700 Meridene Dr
City Baltimore
State Maryland (MD)
Post Code 212392032
Phone Number 4108082786
Fax Number 4107156984

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LC2308
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14003101 MD --

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FAQs about J. Alex Green

What is the unique 10-digit identification code assigned to J. Alex Green by the Centers for Medicare & Medicaid Services?

The J. Alex Green has been issued the NPI (National Provider Identifier) 1295932143, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the J. Alex Green's physical address?

The J. Alex Green is physically located at 1700 Meridene Dr, in the city of Baltimore, MD, with the postal code 212392032.

What is J. Alex Green's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for J. Alex Green is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date was the 1295932143 assigned to J. Alex Green?

The J. Alex Green was issued its 1295932143 on 2007-07-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to J. Alex Green, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to J. Alex Green, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-05-30.

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