Individual provider · Type 1 NPI

Ivan Jerome Green

Counselor · Las Vegas, NV

NPI number 1548046568 Active

Practice location

3762 Tundra Swan St
Las Vegas, NV 89122-3536

Call (323) 212-0072 Map

Specialties and licenses

TaxonomyCodeLicense
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 1548046568

Ivan Jerome Green's National Provider Identifier is 1548046568, issued on Sep 5, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 5, 2023.