Individual provider · Type 1 NPI
Joshua Dwight Gregory, MS
Mental Health Counselor · Bement, IL
NPI number
1114651197
Active
Practice location
285 W Moultrie St
Bement, IL 61813-1458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180-005175 (IL) |
Mental Health Counselor: Definition to come...
About NPI 1114651197
Joshua Dwight Gregory, MS's National Provider Identifier is 1114651197, issued on Jul 14, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bement, IL. The record was last updated on Jul 14, 2022.