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Individual

MRS. GENNETA M GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA NCC

Contact information

Practice address
401 HOLSTON DR, NOLACHUCKEY MENTAL HEALTH CENTER, GREENEVILLE, TN 37743
(423) 639-1104
(423) 639-7045
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
3183
TN

Other

Enumeration date
09/05/2006
Last updated
10/11/2019
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