person
Dr. Jerry Wayne Green, LPC
Professional Counselor in Grand Prairie, Texas
NPI 1992361497

Jerry Wayne Green is a Professional Counselor based in Grand Prairie, TX and is specialized in Professional. Jerry Wayne Green practices in Grand Prairie, TX and has the professional credentials of LPC. The NPI Number for Jerry Wayne Green is 1992361497 and holds a License No. 14932 (Texas).

The current practice location address for Jerry Wayne Green is 2463 Waterside Dr, Grand Prairie, TX and can be reached out via phone at 817-673-2183.

Location: 2463 Waterside Dr, Grand Prairie, TX, 75054-6806
person
Provider Profile Details
NPI Number
1992361497
Provider Name
Jerry Wayne Green
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2463 Waterside Dr, Grand Prairie, TX, 75054-6806
Phone Number
817-673-2183
Fax Number
Provider Enumeration Date
05/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2463 Waterside Dr
City
State
Zip
75054-6806
Phone Number
817-673-2183
Fax Number
person
Provider Business Mailing Address Details
Address
2463 Waterside Dr
City
State
Zip
75054-6806
Phone Number
817-673-2183
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14932 (Texas)
Definition
Definition to come...
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