Green, Kianga
Green, Kianga is an sole proprietor health care provider with primary practice located at 96 Wisteria Rd , Goose Creek SC 29445-3495. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Green, Kianga can be contacted via phone (843) 797-7871.Contact Information
Primary practice address
96 Wisteria Rd
Goose Creek SC 29445-3495
Phone: (843) 797-7871
Fax: (843) 797-8638
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1306253471 |
---|---|
LBN Legal business name | Green, Kianga |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 21st, 2014 |
Last updated | Jul 21st, 2014 - about 11 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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