Breonna Green, LMSW
Counselor, Mental Health in Baltimore, MD. Individual provider (NPI-1).
NPI number1982307302
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1982307302
- Entity type
- Individual (NPI-1)
- Name
- Breonna Green
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2023
- Certification date
- Mar 24, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
4317 Harford RdBaltimore, MD 21214-3118
Phone 410-275-0994
Mailing address
4405 Furley AveBaltimore, MD 21206-5738
Phone 443-799-0385
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