person
Mr. Randy Dale Green, MS,LAC
Mental Health Counselor in Fordyce, Arkansas
NPI 1689804320

Randy Dale Green is a Mental Health Counselor based in Fordyce, AR and is specialized in Mental Health. Randy Dale Green practices in Fordyce, AR and has the professional credentials of MS,LAC. The NPI Number for Randy Dale Green is 1689804320 and holds a License No. P1109064 (Arkansas).

The current practice location address for Randy Dale Green is 1101 W 3Rd St, Fordyce, AR and can be reached out via phone at 870-352-5122 and via fax at 870-352-5127.

Location: 1101 W 3Rd St, Fordyce, AR, 71742-3014
person
Provider Profile Details
NPI Number
1689804320
Provider Name
Randy Dale Green
Credential
MS,LAC
Provider Entity Type
Individual
Gender
Male
Address
1101 W 3Rd St, Fordyce, AR, 71742-3014
Phone Number
870-352-5122
Fax Number
870-352-5127
Provider Enumeration Date
07/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 W 3Rd St
City
State
Zip
71742-3014
Phone Number
870-352-5122
Fax Number
870-352-5127
person
Provider Business Mailing Address Details
Address
1101 W 3Rd St
City
State
Zip
71742-3014
Phone Number
870-352-5122
Fax Number
870-352-5127
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P1109064 (Arkansas)
Definition
Definition to come...
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