RODERICK GREEN NPI 1699179713

NPI Information

Roderick Green is a counselor in El Dorado, AR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Roderick Green NPI is 1699179713. 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:

412 N WASHINGTON AVE
EL DORADO, AR
ZIP 71730-616
Phone: (870) 863-4611
Fax: (870) 863-4962

The enumeration date for this NPI number is 10/17/2014 and was last updated on 10/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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