Individual
JEREMY GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM, PSS-AD
Contact information
Practice address
3004 NE 54TH ST, VANCOUVER, WA 98663-1948
(661) 645-3751
Mailing address
3004 NE 54TH ST, VANCOUVER, WA 98663-1948
(661) 645-3751
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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