MR. Randy Dale Green, MS, LAC
NPI #1689804320 in Fordyce, Arkansas
Provider Information
- NPI Number
- 1689804320
- Entity Type
- Individual
- Name
- MR. Randy Dale Green, MS, LAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MS, LAC
- Enumeration Date
- Jul 15, 2009
- Last Updated
- Mar 25, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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