Oliver H Green III
Counselor, Mental Health in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164076980
StatusActive
Last updated in NPPESAug 5, 2019
Details
- NPI
- 1164076980
- Entity type
- Individual (NPI-1)
- Name
- Mr. Oliver H Green III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2019
- Last updated
- Aug 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1826 Sunrise DrJacksonville, FL 32246-2607
Phone 850-210-2178
Mailing address
1826 Sunrise DrJacksonville, FL 32246-2607
Phone 850-210-2178
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