Ivan Green
Ivan Green is a Case Manager/Care Coordinator in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
8915 Harry Hines BlvdDallas, TX 75235-1717
Phone: (225) 200-1704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1356720353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2015 |
| Last updated in NPPES | December 2, 2022 |
| Certification date | December 2, 2022 |
| Mailing address | 8915 Harry Hines Blvd, Dallas, TX 75235-1717 |
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