Individual provider · Type 1 NPI

Demetric Dewayne Gross, QBHP

Mental Health Counselor · Little Rock, AR

NPI number 1154896702 Active

Practice location

20400 Col Glenn Rd
Little Rock, AR 72210-5323

Call (501) 821-5500 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154896702

Demetric Dewayne Gross, QBHP's National Provider Identifier is 1154896702, issued on Oct 10, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on Oct 10, 2018.