Individual
GREGORY R GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC, CADACIV
Contact information
Practice address
432 S EMERSON AVE STE 100, GREENWOOD, IN 46143-1949
(317) 883-4749
(317) 883-4014
Mailing address
432 S EMERSON AVE STE 100, GREENWOOD, IN 46143-1949
(317) 883-4749
(317) 883-4014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000021A
IN
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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