SearchNew Jersey101YA0400X

Nailah Green, MS, LCADC, CCJP

NPI 1487952693 · on the registry since 2011 · sole proprietor

Practice

Address
220 Bryant Ave
Lawnside, NJ 08045
Phone
(856) 655-8761
Fax
(856) 665-5571

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101Y00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey