Individual provider · Type 1 NPI

Jeremy Brent Green

Mental Health Counselor · Nashville, AR

NPI number 1962658153 Active

Practice location

1575 Highway 371 W
Nashville, AR 71852-7598

Mailing address

7714 Highway 278 W
Nashville, AR 71852-8007

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962658153

Jeremy Brent Green's National Provider Identifier is 1962658153, issued on Aug 7, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nashville, AR. The record was last updated on Aug 7, 2008.