person
Ivan Jerome Green
Counselor in Las Vegas, Nevada
NPI 1548046568

Ivan Jerome Green is a Counselor based in Las Vegas, NV. Ivan Jerome Green practices in Las Vegas, NV. The NPI Number for Ivan Jerome Green is 1548046568 and holds a License No. (Nevada).

The current practice location address for Ivan Jerome Green is 3762 Tundra Swan St, Las Vegas, NV and can be reached out via phone at 323-212-0072.

Location: 3762 Tundra Swan St, Las Vegas, NV, 89122-3536
person
Provider Profile Details
NPI Number
1548046568
Provider Name
Ivan Jerome Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
3762 Tundra Swan St, Las Vegas, NV, 89122-3536
Phone Number
323-212-0072
Fax Number
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3762 Tundra Swan St
City
State
Zip
89122-3536
Phone Number
323-212-0072
Fax Number
person
Provider Business Mailing Address Details
Address
3762 Tundra Swan St
City
State
Zip
89122-3536
Phone Number
323-212-0072
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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