Individual
CARRIE GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8573 W LAKESHORE DR, PERRY, MI 48872-9778
(517) 420-7914
Mailing address
8573 W LAKESHORE DR, PERRY, MI 48872-9778
(517) 420-7914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401014704
MI
101YM0800X
Mental Health Counselor
6401014704
MI
101YP2500X
Professional Counselor
Primary
6401014704
MI
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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