Individual
JAY STANTON GREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15, 12TH ST., PETERSBURG, AK 99833-2155
(907) 650-7292
Mailing address
PO BOX 2155, PETERSBURG, AK 99833-2155
(907) 650-7292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
817
AK
Other
Enumeration date
09/02/2011
Last updated
09/19/2013
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