Jeremy Brent Green

NPI #1962658153 in Nashville, Arkansas

Provider Information

NPI Number: 1962658153
Entity Type: Individual
Name: Jeremy Brent Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: 1575 HIGHWAY 371 W
City: Nashville
State: Arkansas
ZIP Code: 71852-7598
Phone: (870) 457-9742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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