Individual provider · Type 1 NPI

Teresa Gross, LPC, SACIT

Mental Health Counselor · Appleton, WI

NPI number 1508308099 Active

Practice location

1000 N Lynndale Dr, Suite C
Appleton, WI 54914-3056

Fax (920) 735-9050

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17985-130 (WI)
Mental Health Counselor Primary 101YM0800X6296-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1508308099

Teresa Gross, LPC, SACIT's National Provider Identifier is 1508308099, issued on Nov 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Appleton, WI. The record was last updated on Nov 23, 2016.