Individual
MRS. TIANNA HARRISON GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
284 EXECUTIVE PARK DR, STE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR, STE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15681
NC
Other
Enumeration date
03/22/2012
Last updated
05/11/2017
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