Individual provider · Type 1 NPI

Tracy Michelle Gregory, AODC

Addiction (Substance Use Disorder) Counselor · Van Nuys, CA

NPI number 1346497815 Active

Practice location

6580 Van Nuys Blvd, 125
Van Nuys, CA 91401-1426

Call (818) 908-1740 Map

Fax (818) 908-3336

Mailing address

13714 Kornblum Ave, Apt 9
Hawthorne, CA 90250-9501

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 1346497815

Tracy Michelle Gregory, AODC's National Provider Identifier is 1346497815, issued on Aug 26, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Van Nuys, CA. The record was last updated on Aug 26, 2008.