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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN GREEN, LPC

Active

JONATHAN GREEN, LPC is a Counselor healthcare provider located in CAMILLUS, New York. NPI 1164930756 is currently active in the NPPES registry. Verify at CMS.

Counselor · CAMILLUS, NY

Registration Details

NPI Number
1164930756
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2018 (8.531770631541 yrs)
Last Updated
Apr 19, 2025

Practice Information

Address
207 IVANHOE AVE
CAMILLUS, NY, 130312427
Browse NY providers · Browse ZIP 13031
Phone
5853644585
Primary Specialty
Counselor
101Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.