Individual
DIANA R GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
5234 W STATE ROUTE 63, LEBANON, OH 45036-8202
(513) 751-7747
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1395
(513) 751-7747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCAPRE.195146
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Enumeration date
05/27/2026
Last updated
05/28/2026
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