Individual provider · Type 1 NPI

Pat R. Green, LPC

Mental Health Counselor · Tyler, TX

NPI number 1780693788 Active

Practice location

2323 W Front St
Tyler, TX 75702-7704

Fax (903) 535-7386

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12330 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1780693788

Pat R. Green, LPC's National Provider Identifier is 1780693788, issued on Aug 7, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tyler, TX. The record was last updated on Jul 8, 2007.