JEFFREY WILLIAM GROSS

GREEN BAY, WI
NPI1720865488
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  20388-130)
Enumeration Date2023-09-14
Last Update Date2025-09-20
Business Address
DR. JEFFREY WILLIAM GROSS SAC-IT
540 N BROADWAY RM 142
GREEN BAY, WI 54303-3404
Phone number: 920-246-5990
Mailing Address
DR. JEFFREY WILLIAM GROSS SAC-IT
540 N BROADWAY RM 142
GREEN BAY, WI 54303-3404
Phone number: 920-246-5990