Individual provider · Type 1 NPI

Ivan Green

Counselor · Dallas, TX

NPI number 1356720353 Active

Practice location

8915 Harry Hines Blvd
Dallas, TX 75235-1717

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1356720353

Ivan Green's National Provider Identifier is 1356720353, issued on May 22, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dallas, TX. The record was last updated on Dec 2, 2022.