person
Jonathan Andrew Green
Mental Health Counselor in Bossier City, Louisiana
NPI 1588306898

Jonathan Andrew Green is a Mental Health Counselor based in Hattiesburg, LA and is specialized in Mental Health. Jonathan Andrew Green practices in Bossier City, LA. The NPI Number for Jonathan Andrew Green is 1588306898 and holds a License No. (Louisiana).

The current practice location address for Jonathan Andrew Green is 1000 Chinaberry Dr Ste 903, Bossier City, LA and can be reached out via phone at 318-459-6795 and via fax at 318-626-5429. You can also correspond with Jonathan Andrew Green through the mailing address at 3317 W 4TH ST APT 16, HATTIESBURG, MS - 39401-5860 (mailing address contact number: 601-964-1696).

Location: 1000 Chinaberry Dr Ste 903, Bossier City, LA, 39401-5860
person
Provider Profile Details
NPI Number
1588306898
Provider Name
Jonathan Andrew Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Chinaberry Dr Ste 903, Bossier City, LA, 39401-5860
Phone Number
318-459-6795
Fax Number
318-626-5429
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Chinaberry Dr Ste 903
City
State
Zip
71111-2455
Phone Number
318-459-6795
Fax Number
318-626-5429
person
Provider Business Mailing Address Details
Address
1000 Chinaberry Dr Ste 903
City
State
Zip
71111-2455
Phone Number
318-459-6795
Fax Number
318-626-5429
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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