| Doctor Name: | MR. JAMES N. GREEN |
| NPI Number: | 1881814093 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BS |
| License Number: | LVN-164X00000X |
| Business Practice Address: | 4302 Clarks Valley Rd Swords Creek, VA - 24649 |
| Business Phone Number: | 2769910622 |
| Business Fax Number: | |
| Mailing Address: | 4302 Clarks Valley Rd, Box 624 SWORDS CREEK |
| State: | VA |
| Postal Code: | 24649 |
| Phone Number: | 2769633554 |
| Fax Number: | 2769644802 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LVN-164X00000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |