person
Jesse Gruich, CPSS
Peer Specialist in Gulfport, Mississippi
NPI 1023660693

Jesse Gruich is a Peer Specialist based in Gulfport, MS. Jesse Gruich practices in Gulfport, MS and has the professional credentials of CPSS. The NPI Number for Jesse Gruich is 1023660693 and holds a License No. 354 (Mississippi).

The current practice location address for Jesse Gruich is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132. You can also correspond with Jesse Gruich through the mailing address at 1600 BROAD AVE, GULFPORT, MS - 39501-3603 (mailing address contact number: 228-863-1132).

Location: 1600 Broad Ave, Gulfport, MS, 39501-3603
person
Provider Profile Details
NPI Number
1023660693
Provider Name
Jesse Gruich
Credential
CPSS
Provider Entity Type
Individual
Gender
Male
Address
1600 Broad Ave, Gulfport, MS, 39501-3603
Phone Number
228-863-1132
Fax Number
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
354 (Mississippi)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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