Individual
ERIC WILLIAM GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3637 UTAH PL, SAINT LOUIS, MO 63116-4828
(314) 330-9748
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 206-3726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2009014951
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009014951
MO DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
07/09/2008
Last updated
06/08/2022
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