Individual
MR. ALAN L GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
8260 NORTHCREEK DRIVE, #380, CINCINNATI, OH 45236-6117
(513) 271-0803
(513) 272-4132
Mailing address
401 E MCMILLAN ST, CINCINNATI, OH 45206-1922
(513) 487-7174
(513) 475-5689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I0007705
OH
106H00000X
Marriage & Family Therapist
I0007705
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I0007705
LISW
OH
Enumeration date
11/13/2006
Last updated
03/31/2016
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