Individual
JASON DWIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D,HON. D.COUNS
Contact information
Practice address
5616 GRANDMOTHER HAT ST, NORTH LAS VEGAS, NV 89081-6467
(310) 597-0282
Mailing address
5616 GRANDMOTHER HAT ST, NORTH LAS VEGAS, NV 89081-6467
(310) 597-0282
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
18090
TX
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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