Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Robert Green

Individual provider Counselor · NPI 1508709122

Jefferson Robert Green is a Counselor in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

3205 Randall Pkwy Ste 217
Wilmington, NC 28403-2569
Phone: (910) 877-1598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence P023659 (NC)

Record details

NPI number1508709122
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2026
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

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