Individual
DR. JEFFREY WILLIAM GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
540 N BROADWAY RM 142, GREEN BAY, WI 54303-3404
(920) 246-5990
Mailing address
540 N BROADWAY RM 142, GREEN BAY, WI 54303-3404
(920) 246-5990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20388-130
WI
Other
Enumeration date
09/14/2023
Last updated
09/20/2025
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