Green, Jessie Holbrook

Green, Jessie Holbrook is an individual health care provider with primary practice located at 2505 Court Dr , Gastonia NC 28054-2140. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Jessie Holbrook can be contacted via phone (704) 842-6333.

Contact Information

Primary practice address
2505 Court Dr Gastonia NC 28054-2140
Phone: (704) 842-6333
Fax: (704) 854-4860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X COO7129 North Carolina

Profile Details

NPI number 1225232424
LBN Legal business name Green, Jessie Holbrook
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Apr 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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