person
Mr. Justin O Green, LPC
Professional Counselor in Mountain Home, Arkansas
NPI 1881613503

Justin O Green is a Professional Counselor based in Mountain Home, AR and is specialized in Professional. Justin O Green practices in Mountain Home, AR and has the professional credentials of LPC. The NPI Number for Justin O Green is 1881613503 and holds a License No. P0311042 (Arkansas).

The current practice location address for Justin O Green is 1022 Heatherdown, Mountain Home, AR and can be reached out via phone at 870-232-1823. You can also correspond with Justin O Green through the mailing address at 1022 HEATHERDOWN, MOUNTAIN HOME, AR - 72653-5015 (mailing address contact number: 870-232-1823).

Location: 1022 Heatherdown, Mountain Home, AR, 72653-5015
person
Provider Profile Details
NPI Number
1881613503
Provider Name
Justin O Green
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1022 Heatherdown, Mountain Home, AR, 72653-5015
Phone Number
870-232-1823
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5S755 01 AR BLUECROSS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1022 Heatherdown
City
State
Zip
72653-5015
Phone Number
870-232-1823
Fax Number
person
Provider Business Mailing Address Details
Address
1022 Heatherdown
City
State
Zip
72653-5015
Phone Number
870-232-1823
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P0311042 (Arkansas)
Definition
Definition to come...
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