Individual provider · Type 1 NPI
Cody Tyler Gruber
Addiction (Substance Use Disorder) Counselor · Walterboro, SC
NPI number
1972272888
Active
Practice location
1439 Thunderbolt Drive
Walterboro, SC 29488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 101824814 (SC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972272888
Cody Tyler Gruber's National Provider Identifier is 1972272888, issued on Sep 13, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Walterboro, SC. The record was last updated on Mar 14, 2022.