Individual
AMY GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141003
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC-CS.141003
OH
104100000X
Social Worker
Primary
I.1901608
OH
104100000X
Social Worker
S1502345
OH
Other
Enumeration date
02/16/2016
Last updated
06/22/2026
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