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.
Location: 710 Terry Ave, Springdale, AR, 72764-6804
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
Provider Business Practice Location Address Details
Address
710 Terry Ave
City
State
Zip
72764-6804
Phone Number
479-283-8509
Fax Number
Provider Business Mailing Address Details
Address
710 Terry Ave
City
State
Zip
72764-6804
Phone Number
479-283-8509
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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