Individual provider · Type 1 NPI

Gary Lane Green, MS, LPC, LMFT

Marriage & Family Therapist · Rogers, AR

NPI number 1114167731 Active

Practice location

1232 W Poplar St
Rogers, AR 72756-4246

Mailing address

PO Box 793
Rogers, AR 72757-0793

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XP1205057 (AR)
Marriage & Family Therapist Primary 106H00000XM1205005 (AR)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1114167731

Gary Lane Green, MS, LPC, LMFT's National Provider Identifier is 1114167731, issued on Feb 21, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rogers, AR. The record was last updated on Jun 26, 2012.