Individual
MR. CHARLES G GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.M.H.C.
Contact information
Practice address
928 BROADWAY, SUITE#1206, NEW YORK, NY 10010-6008
(917) 687-5347
Mailing address
928 BROADWAY, SUITE#1206, NEW YORK, NY 10010-6008
(917) 687-5347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004754
NY
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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