Individual
AMY GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 351-2718
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148
(740) 351-2718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141003
OH
104100000X
Social Worker
S1502345
OH
Other
Enumeration date
02/16/2016
Last updated
03/01/2017
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