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Jonathan Green
Peer Specialist in Springdale, Arkansas
NPI 1548652332

Jonathan Green is a Peer Specialist based in Springdale, AR. Jonathan Green practices in Springdale, AR. The NPI Number for Jonathan Green is 1548652332 and holds a License No. (Arkansas).

The current practice location address for Jonathan Green is 710 Terry Ave, Springdale, AR and can be reached out via phone at 479-283-8509. You can also correspond with Jonathan Green through the mailing address at 710 TERRY AVE, SPRINGDALE, AR - 72764-6804 (mailing address contact number: ).

Location: 710 Terry Ave, Springdale, AR, 72764-6804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548652332
Provider Name
Jonathan Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
710 Terry Ave, Springdale, AR, 72764-6804
Phone Number
479-283-8509
Fax Number
Provider Enumeration Date
03/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 Terry Ave
City
Springdale
State
Arkansas
Zip
72764-6804
Phone Number
479-283-8509
Fax Number
person
Provider Business Mailing Address Details
Address
710 Terry Ave
City
Springdale
State
Arkansas
Zip
72764-6804
Phone Number
479-283-8509
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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