Individual
ROGER GREF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAP
Contact information
Practice address
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068-4357
(904) 291-5561
(904) 291-5575
Mailing address
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068-4357
(904) 291-5561
(904) 291-5575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP1741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763771300
—
FL
Enumeration date
08/07/2006
Last updated
07/09/2007
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