RANDY DALE GREEN

FORDYCE, AR
NPI1689804320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  P1109064)
Enumeration Date2009-07-15
Last Update Date2021-03-25
Business Address
Mr. RANDY DALE GREEN MS, LAC
1101 W 3RD ST
FORDYCE, AR 71742-3014
Phone number: 870-352-5122
Mailing Address
Mr. RANDY DALE GREEN MS, LAC
1101 W 3RD ST
FORDYCE, AR 71742-3014
Phone number: 870-352-5122