Individual provider · Type 1 NPI

Reginald D. Green, LAC

Mental Health Counselor · Magnolia, AR

NPI number 1376958579 Active

Practice location

621 E North St
Magnolia, AR 71753-3120

Fax (870) 234-0739

Mailing address

1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XA2001191 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1376958579

Reginald D. Green, LAC's National Provider Identifier is 1376958579, issued on Jun 25, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Magnolia, AR. The record was last updated on Jan 8, 2026.