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Roderick Green
Counselor in El Dorado, Arkansas
NPI 1699179713

Roderick Green is a Counselor based in Bentonville, AR. Roderick Green practices in El Dorado, AR. The NPI Number for Roderick Green is 1699179713 and holds a License No. (Arkansas).

The current practice location address for Roderick Green is 412 N Washington Ave, El Dorado, AR and can be reached out via phone at 870-863-4611 and via fax at 870-863-4962.

Location: 412 N Washington Ave, El Dorado, AR, 72712-4576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699179713
Provider Name
Roderick Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
412 N Washington Ave, El Dorado, AR, 72712-4576
Phone Number
870-863-4611
Fax Number
870-863-4962
Provider Enumeration Date
10/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
412 N Washington Ave
City
El Dorado
State
Arkansas
Zip
71730-5616
Phone Number
870-863-4611
Fax Number
870-863-4962
person
Provider Business Mailing Address Details
Address
412 N Washington Ave
City
El Dorado
State
Arkansas
Zip
71730-5616
Phone Number
870-863-4611
Fax Number
870-863-4962
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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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