Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN JEROME GREEN
Active Sole ProprietorIVAN JEROME GREEN is a Counselor healthcare provider located in LAS VEGAS, Nevada. NPI 1548046568 is currently active in the NPPES registry. Verify at CMS.
Counselor · LAS VEGAS, NV
Registration Details
- NPI Number
- 1548046568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2023 (2.9401051540325 yrs)
- Last Updated
- Sep 5, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
3762 TUNDRA SWAN STLAS VEGAS, NV, 891223536Browse NV providers · Browse ZIP 89122
- Phone
- 3232120072
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH M. HERBST | — | 1659322907 |
| MR. DAVID NOEL ROWE | — | 1760433452 |
| KATIE PUJANAUSKI | MGSW | 1548212731 |
| ALTHEA FENNELL | — | 1639121817 |
| SARAH J PAULSEN | — | 1265484075 |
| MR. ROGER A GRINNELL | — | 1801849518 |
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.