Individual
TIMOTHY GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
970 WOODSTOCK PKWY STE 210, WOODSTOCK, GA 30188-4869
(678) 653-3272
Mailing address
970 WOODSTOCK PKWY STE 210, WOODSTOCK, GA 30188-4869
(678) 653-3272
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT000751
GA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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