GREGORY SUDDRETH

GASTONIA, NC
NPI1457781536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A10489)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  3579-A)
Enumeration Date2013-11-26
Last Update Date2013-11-26
Business Address
-- GREGORY SUDDRETH
415 W MAIN AVE
GASTONIA, NC 28052-3844
Phone number: 704-478-6093
Mailing Address
-- GREGORY SUDDRETH
1617 16TH ST NE
HICKORY, NC 28601-2815
Phone number: 828-461-2822