NPI 1114167731

Gary Lane Green, MSLPCLMFT

Practitioner Marriage & Family Therapist Rogers, AR

Practice location

Address: 1232 W Poplar St, Rogers, AR 72756-4246
Phone: (479) 936-5944
Mailing address: PO Box 793, Rogers, AR 72757-0793

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence M1205005 (AR)

Other Marriage & Family Therapist providers in Arkansas →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence P1205057 (AR)

Other Counselor providers in Arkansas →

Registry record

NPI: 1114167731
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2009
Record last updated: 26 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.