Individual
MISS JESSICA MARIE GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24589
NC
103T00000X
Psychologist
Primary
5624
NC
Other
Enumeration date
11/28/2018
Last updated
11/29/2025
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