JEFFREY BRIAN GROSS

DAYTON, OH
NPI1093359838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  174666)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  172001)
Enumeration Date2019-11-05
Last Update Date2020-10-01
Business Address
JEFFREY BRIAN GROSS CDCA
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-3717
Mailing Address
JEFFREY BRIAN GROSS CDCA
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-3717