Individual
MR. DONALD ROBERT GREENGRASS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
N6520 GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-3434
Mailing address
N6520 GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-3434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15533-131
WI
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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