person
Cody Tyler Gruber
Addiction (Substance Use Disorder) Counselor in Walterboro, South Carolina
NPI 1972272888

Cody Tyler Gruber is an Addiction (Substance Use Disorder) Counselor based in Walterboro, SC and is specialized in Addiction (Substance Use Disorder). Cody Tyler Gruber practices in Walterboro, SC. The NPI Number for Cody Tyler Gruber is 1972272888 and holds a License No. 101824814 (South Carolina).

The current practice location address for Cody Tyler Gruber is 1439 Thunderbolt Drive, Walterboro, SC and can be reached out via phone at 843-538-4343.

Location: 1439 Thunderbolt Drive, Walterboro, SC, 29488
person
Provider Profile Details
NPI Number
1972272888
Provider Name
Cody Tyler Gruber
Credential
Provider Entity Type
Individual
Gender
Male
Address
1439 Thunderbolt Drive, Walterboro, SC, 29488
Phone Number
843-538-4343
Fax Number
Provider Enumeration Date
09/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1439 Thunderbolt Drive
City
State
Zip
29488
Phone Number
843-538-4343
Fax Number
person
Provider Business Mailing Address Details
Address
1439 Thunderbolt Drive
City
State
Zip
29488
Phone Number
843-538-4343
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
101824814 (South Carolina)
Definition
Definition to come...
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