Most Relevant Information
Provider Data
NPI Number: | 1003382482 |
Provider Name: | SEANN GREGORY |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 10/23/2018 |
Last Updated: | 10/23/2018 |
Provider Practice Location
1750 NEBRASKA AVE BLDG B
GRANTS PASS
OR
975275700
Practice Location Phone/Fax
Phone: | 5419564943 |
Fax: |
Provider Mailing Location
1750 NEBRASKA AVE BLDG A
GRANTS PASS
OR
975275700
Provider Mailing Phone/Fax
Phone: | 5419564943 |
Fax: |