Individual provider · Type 1 NPI
Gregory Mason Macdonald
Addiction (Substance Use Disorder) Counselor · Creve Coeur, MO
NPI number
1104077296
Active
Practice location
12647 Olive Blvd, Spectrum Healthcare Resources
Creve Coeur, MO 63141
Fax (877) 685-9866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 101YA0400X (HI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Creve Coeur
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About NPI 1104077296
Gregory Mason Macdonald's National Provider Identifier is 1104077296, issued on Oct 7, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Creve Coeur, MO. The record was last updated on Oct 7, 2008.