Individual
MRS. COLLEEN COURTNEY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 E 10 MILE RD, CENTER LINE, MI 48015-1168
(586) 501-3070
Mailing address
6900 E 10 MILE RD, CENTER LINE, MI 48015-1168
(586) 501-3070
(248) 920-0550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
6801099613
MI
Other
Enumeration date
03/20/2012
Last updated
08/04/2022
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