Individual provider · Type 1 NPI

Georgia Gruver

Addiction (Substance Use Disorder) Counselor · Newark, CA

NPI number 1265667653 Active

Practice location

6330 Thornton Ave
Newark, CA 94560-3734

Call (510) 792-4357 Map

Mailing address

2932 Tribune Ave
Hayward, CA 94542-1639

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1265667653

Georgia Gruver's National Provider Identifier is 1265667653, issued on May 28, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, CA. The record was last updated on May 28, 2009.