Individual provider · Type 1 NPI

Jeffrey Brian Gross, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1093359838 Active

Practice location

1 Elizabeth Pl
Dayton, OH 45417-3445

Fax (937) 813-4834

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X172001 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X174666 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093359838

Jeffrey Brian Gross, CDCA's National Provider Identifier is 1093359838, issued on Nov 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Oct 1, 2020.