Individual
CAROL ANN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 NE ELM ST, PRINEVILLE, OR 97754-1664
(541) 323-5330
Mailing address
1103 NE ELM ST, PRINEVILLE, OR 97754-1664
(541) 323-5330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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