MRS. Kristen Shae Gregory, LICSW

NPI #1104371053 in Madison, Alabama

Provider Information

NPI Number: 1104371053
Entity Type: Individual
Name: MRS. Kristen Shae Gregory, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LICSW
Enumeration Date: Aug 22, 2016
Last Updated: Dec 8, 2020

Practice Location

Address: 190 LIME QUARRY RD
City: Madison
State: Alabama
ZIP Code: 35758
Phone: (256) 270-9483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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