Individual
MR. JEREMY MICHAEL GRONAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, GCCA
Contact information
Practice address
705 CRESTBROOK CT, CANTON, GA 30115-8934
(770) 580-9610
Mailing address
705 CRESTBROOK CT, CANTON, GA 30115-8934
(770) 580-9610
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
11245338
GA
Other
Enumeration date
12/12/2024
Last updated
12/16/2024
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