Individual
HEIDI C GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADACII
Contact information
Practice address
105 STATE ROAD 28 E, ROMNEY, IN 47981-9604
(765) 418-5306
Mailing address
105 STATE ROAD 28 E, ROMNEY, IN 47981-9604
(765) 418-5306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-51219
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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