Individual
JEREMY BRENT GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 HIGHWAY 371 W, NASHVILLE, AR 71852-7598
(870) 457-9742
Mailing address
7714 HIGHWAY 278 W, NASHVILLE, AR 71852-8007
(870) 451-9742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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