person
Mr. Gregory Mason Macdonald
Addiction (Substance Use Disorder) Counselor in Creve Coeur, Missouri
NPI 1104077296

Gregory Mason Macdonald is an Addiction (Substance Use Disorder) Counselor based in Creve Coeur, MO and is specialized in Addiction (Substance Use Disorder). Gregory Mason Macdonald practices in Creve Coeur, MO. The NPI Number for Gregory Mason Macdonald is 1104077296 and holds a License No. 101YA0400X (Missouri).

The current practice location address for Gregory Mason Macdonald is 12647 Olive Blvd, Creve Coeur, MO and can be reached out via phone at 800-325-3982 and via fax at 877-685-9866. You can also correspond with Gregory Mason Macdonald through the mailing address at 12647 OLIVE BLVD, CREVE COEUR, MO - 63141 (mailing address contact number: 800-325-3982).

Location: 12647 Olive Blvd, Creve Coeur, MO, 63141
person
Provider Profile Details
NPI Number
1104077296
Provider Name
Gregory Mason Macdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
12647 Olive Blvd, Creve Coeur, MO, 63141
Phone Number
800-325-3982
Fax Number
877-685-9866
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12647 Olive Blvd
City
State
Zip
63141
Phone Number
800-325-3982
Fax Number
877-685-9866
person
Provider Business Mailing Address Details
Address
12647 Olive Blvd
City
State
Zip
63141
Phone Number
800-325-3982
Fax Number
877-685-9866
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
101YA0400X (Hawaii)
Definition
Definition to come...
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