Individual provider · Type 1 NPI

Randy Dale Green, MS, LAC

Mental Health Counselor · Fordyce, AR

NPI number 1689804320 Active

Practice location

1101 W 3rd St
Fordyce, AR 71742-3014

Fax (870) 352-5127

Other practice locations

  • 600 Main St Ste V, Hot Springs, AR 71913-4964 · (501) 321-8200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP1109064 (AR)

Mental Health Counselor: Definition to come...

64 other providers at this address

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About NPI 1689804320

Randy Dale Green, MS, LAC's National Provider Identifier is 1689804320, issued on Jul 15, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fordyce, AR. The record was last updated on Mar 25, 2021.