Individual
JESSICA REGI GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1115 5TH ST, SIOUX CITY, IA 51101-1905
(712) 255-0890
Mailing address
1115 5TH ST, SIOUX CITY, IA 51101-1905
(712) 255-0890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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