Jonathan Green, LPC

NPI #1164930756 in Camillus, New York

Provider Information

NPI Number: 1164930756
Entity Type: Individual
Name: Jonathan Green, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jan 17, 2018
Last Updated: Apr 19, 2025

Practice Location

Address: 207 IVANHOE AVE
City: Camillus
State: New York
ZIP Code: 13031-2427
Phone: (585) 364-4585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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