Jesse Green Valid NPI

Individual provider · Mental Health Counselor · Crystal Lake, IL

NPI

1316679699

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

Sex

Male

Sole proprietor

No

Enumerated

2022-06-27

Last updated

2022-06-27