JONATHAN GREEN, LPC
Counselor
Active
Individual
NPI: 1164930756
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1164930756 is the National Provider Identifier for JONATHAN GREEN, LPC, a Counselor provider located in Camillus, NY. This NPI was enumerated on January 17, 2018.
JONATHAN GREEN, LPC practices at 207 IVANHOE AVE, Camillus, NY 13031.
Quick Facts
- NPI
- 1164930756
- Type
- Individual
- Enumerated
- Jan 17, 2018
- Last Updated
- Apr 19, 2025
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