Individual
L. ALLEN GRECULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6050 STERLING CREEK RD, PORTAGE, IN 46368-7752
(219) 763-8112
(219) 764-5380
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-5380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000357A
IN
Other
Enumeration date
06/30/2016
Last updated
08/19/2020
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