Individual
PEGGY GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LCAC
Contact information
Practice address
115 N UNION ST, WESTFIELD, IN 46074-9459
(317) 804-3697
Mailing address
115 N UNION ST, WESTFIELD, IN 46074-9459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001601A
IN
101YM0800X
Mental Health Counselor
Primary
88001381A
IN
Other
Enumeration date
09/15/2016
Last updated
10/22/2025
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