Individual provider · Type 1 NPI

Jesse Green

Mental Health Counselor · Crystal Lake, IL

NPI number 1316679699 Active

Practice location

9 Crystal Lake Plz
Crystal Lake, IL 60014-7928

Call (815) 900-4554 Map

Mailing address

598 Chardonnay Ln
Crystal Lake, IL 60014-7402

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Crystal Lake

See all in Crystal Lake →

About NPI 1316679699

Jesse Green's National Provider Identifier is 1316679699, issued on Jun 27, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crystal Lake, IL. The record was last updated on Jun 27, 2022.