Individual provider · Type 1 NPI
Jeffrey William Gross, SAC-IT
Addiction (Substance Use Disorder) Counselor · Green Bay, WI
NPI number
1720865488
Active
Practice location
540 N Broadway Rm 142
Green Bay, WI 54303-3404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20388-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720865488
Jeffrey William Gross, SAC-IT's National Provider Identifier is 1720865488, issued on Sep 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on Sep 20, 2025.