Individual provider · Type 1 NPI

Susan Davis Gregory, LCAS A

Addiction (Substance Use Disorder) Counselor · Raleigh, NC

NPI number 1679091268 Active

Practice location

309 W Millbrook Rd Ste 161
Raleigh, NC 27609-4261

Fax (919) 882-1277

Mailing address

5405 Quail Creek Ct Apt 104
Raleigh, NC 27609-5084

Other practice locations

  • 3826 Bland Rd, Raleigh, NC 27609-6239 · (919) 872-1441

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X21441 (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22950 (NC)

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

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About NPI 1679091268

Susan Davis Gregory, LCAS A's National Provider Identifier is 1679091268, issued on Sep 2, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raleigh, NC. The record was last updated on Jul 21, 2025.