Randy Green

NPI #1053763102 in Bastrop, Louisiana

Provider Information

NPI Number
1053763102
Entity Type
Individual
Name
Randy Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jul 12, 2016
Last Updated
Jun 6, 2018

Practice Location

Address
410 S FRANKLIN ST
ZIP Code
71220
Phone
(318) 410-1062

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Case Manager/Care Coordinator

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