Search › Texas › 101YP2500X
Jerry Green, LPC
NPI 1992361497 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2463 Waterside Dr
Grand Prairie, TX 75054 - Phone
- (817) 673-2183
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas