Individual provider · Type 1 NPI

Jackson Adonis Grey

Addiction (Substance Use Disorder) Counselor · Hastings, MN

NPI number 1508582727 Active

Practice location

1294 18th St E
Hastings, MN 55033-3680

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 1508582727

Jackson Adonis Grey's National Provider Identifier is 1508582727, issued on Oct 19, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hastings, MN. The record was last updated on Oct 19, 2022.