Individual provider · Type 1 NPI

Sean Michael Grosse, CADC-R, CRM, QMHA-R

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1972364727 Active

Practice location

1966 Garden Ave
Eugene, OR 97403-1933

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X24-QMHA-R-6036 (OR)
Peer Specialist 175T00000X23-CRM-1965
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-2633 (OR)

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About NPI 1972364727

Sean Michael Grosse, CADC-R, CRM, QMHA-R's National Provider Identifier is 1972364727, issued on Jan 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Oct 14, 2024.