DR. Jerry Wayne Green, LPC is a professional counselor in Grand Prairie, TX. DR. Jerry Wayne Green, LPC NPI is 1992361497. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2463 WATERSIDE DR
GRAND PRAIRIE, TX
ZIP 75054-806
Phone: (817) 673-2183
The enumeration date for this NPI number is 5/10/2019 and was last updated on 5/10/2019.