Individual
MR. GREGORY FREDRICK MEBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
4339 WINSTON AVE, LATONIA CENTRE, COVINGTON, KY 41015-1739
(859) 760-3025
(859) 261-5487
Mailing address
4339 WINSTON AVE, LATONIA CENTRE, COVINGTON, KY 41015-1739
(859) 760-3025
(859) 261-5487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KY-0225
KY
1041C0700X
Clinical Social Worker
Primary
1097
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12517483
CAQH
KY
05
—
7100270040
—
KY
Enumeration date
01/08/2007
Last updated
04/09/2015
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