Individual
MR. GREGORY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMHC, CASAC
Contact information
Practice address
1510 WATERS PL, BRONX, NY 10461-2700
(718) 409-9420
(718) 828-4899
Mailing address
1510 WATERS PL, BRONX, NY 10461-2700
(718) 409-9420
(718) 828-4899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11971
NY
101YM0800X
Mental Health Counselor
004008
NY
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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