Individual
MR. AUSTIN J. GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IADC
Contact information
Practice address
2322 E KIMBERLY RD STE 200N, DAVENPORT, IA 52807-7216
(563) 355-0055
Mailing address
2322 E KIMBERLY RD STE 200N, DAVENPORT, IA 52807-7216
(563) 355-0055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12055
IA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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