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Individual

MR. GREGORY SHANE MEADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS PSYCHOLOGY MA COU

Contact information

Practice address
430 INDUSTRIAL DRIVE, OPPORTUNITY HOUSE, PENNINGTON GAP, VA 24277
(276) 546-4357
(276) 546-4640
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/02/2007
Last updated
07/08/2007
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