Individual
MR. GREGORY MASON MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12647 OLIVE BLVD, SPECTRUM HEALTHCARE RESOURCES, CREVE COEUR, MO 63141
(800) 325-3982
(877) 685-9866
Mailing address
12647 OLIVE BLVD, SPECTRUM HEALTHCARE RESOURCES, CREVE COEUR, MO 63141
(800) 325-3982
(877) 685-9866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
HI
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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