Individual
GREGORY GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Mailing address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 410-8755
(208) 343-0064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9081024
ID
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/28/2026
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