Individual
GREGORY A GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
3201 PIONEERS BLVD, STE 112, LINCOLN, NE 68502-5963
(402) 486-3110
Mailing address
3201 PIONEERS BLVD, STE 112, LINCOLN, NE 68502-5963
(402) 486-3110
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
867
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071164
VALUEOPTIONS
NE
01
—
470807872
TAX ID
NE
05
—
47080787226
—
NE
01
—
5668
MIDLANDS ID
NE
01
—
84118
BLUECROSS BLUESHIELD
NE
Enumeration date
11/09/2006
Last updated
08/08/2023
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