MR. Gregory Mason Macdonald

NPI #1104077296 in Creve Coeur, Missouri

Provider Information

NPI Number
1104077296
Entity Type
Individual
Name
MR. Gregory Mason Macdonald
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 7, 2008
Last Updated
Oct 7, 2008

Practice Location

Address
12647 OLIVE BLVD
Address 2
SPECTRUM HEALTHCARE RESOURCES
ZIP Code
63141
Phone
(800) 325-3982

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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