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Individual
MR. MICHAEL T GROVE
Active
Individual
MR. MICHAEL T GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
900
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
952
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-876
NE
101YM0800X
Mental Health Counselor
1950
NE
101YM0800X
Mental Health Counselor
8800
NE
Other
Enumeration date
11/12/2010
Last updated
05/09/2013
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