| Doctor Name: | MS. ALICIA MAE GREENE |
| NPI Number: | 1114253150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC, PC, ICPS, NCC |
| License Number: | PREV SPECIALIST 1 |
| Business Practice Address: | 901 Us Highway 68 Ste 900 Maysville, KY - 410569188 |
| Business Phone Number: | 6065847055 |
| Business Fax Number: | 8665334929 |
| Mailing Address: | 901 Us Highway 68, Ste 900 MAYSVILLE |
| State: | KY |
| Postal Code: | 410569188 |
| Phone Number: | 6065847055 |
| Fax Number: | 8665334929 |
| NPI Enumeration Date: | 10/27/2009 |
| NPI Last Update Date: | 07/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PREV SPECIALIST 1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |