Individual
GREGORY SUDDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 3RD AVE NE, HICKORY, NC 28601-5014
(828) 322-9130
(828) 322-7890
Mailing address
1617 16TH ST NE, HICKORY, NC 28601-2815
(828) 461-2822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3579
NC
101YM0800X
Mental Health Counselor
Primary
10489
NC
Other
Enumeration date
11/26/2013
Last updated
02/13/2025
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