Jonathan Green
NPI #1548652332 in Springdale, Arkansas
Provider Information
- NPI Number
- 1548652332
- Entity Type
- Individual
- Name
- Jonathan Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Mar 3, 2015
- Last Updated
- Jan 22, 2020
Practice Location
- Address
- 710 TERRY AVE
- City
- Springdale
- State
- Arkansas
- ZIP Code
- 72764-6804
- Phone
- (479) 283-8509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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