Individual
MR. PATRICK GRUBBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 BRIARCLIFF RD, JACKSON, MI 49203-3858
(517) 784-5590
Mailing address
901 BRIARCLIFF RD, JACKSON, MI 49203-3858
(517) 784-5590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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