Individual
DIANA JEAN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2516 A ST, SAN DIEGO, CA 92102-2111
(619) 235-0592
Mailing address
2516 A ST, SAN DIEGO, CA 92102-2111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23808
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
03/24/2026
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