Individual
ANTOINE GROSS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1425 GREENWAY DR STE 360, IRVING, TX 75038-2447
(844) 824-8775
(281) 648-2200
Mailing address
1425 GREENWAY DR STE 360, IRVING, TX 75038-2447
(844) 824-8775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87367
TX
101YP2500X
Professional Counselor
87367
TX
Other
Enumeration date
07/24/2023
Last updated
11/04/2024
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