Provider Demographics
NPI:1649496480
Name:GREEN, WILLIAM FRANCIS (MS, CRC, LRC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:GREEN
Suffix:
Gender:M
Credentials:MS, CRC, LRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 E 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH WILDWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08260-5624
Mailing Address - Country:US
Mailing Address - Phone:609-522-8419
Mailing Address - Fax:
Practice Address - Street 1:306 E 13TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH WILDWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08260-5624
Practice Address - Country:US
Practice Address - Phone:609-522-8419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37RC00085100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health