Individual
MICHELLE MURRY GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4664 BURKHARDT AVE APT K, DAYTON, OH 45431-1882
(937) 733-1038
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.182799
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411413
—
OH
Enumeration date
03/04/2022
Last updated
03/22/2023
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