Green, Jan R

Green, Jan R is an individual health care provider with primary practice located at 815 E 5Th St , Alton IL 62002-6471. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Jan R can be contacted via phone (618) 474-6244.

Contact Information

Primary practice address
815 E 5Th St Alton IL 62002-6471
Phone: (618) 474-6244
Fax: (618) 474-6242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1255437554
LBN Legal business name Green, Jan R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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