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Individual

ALEX GREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-2979
(614) 655-3345
(614) 317-4689
Mailing address
480 GRAHAM ST, COLUMBUS, OH 43203-1136
(740) 513-0313

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170539
OH
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/31/2019
Last updated
11/28/2023
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