Individual
BRIANNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801-2803
(479) 964-2011
Mailing address
1310 W MAIN ST STE 201, RUSSELLVILLE, AR 72801-2803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289653795
—
AR
Enumeration date
09/21/2022
Last updated
03/26/2026
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