Jackson Adonis Grey

NPI #1508582727 in Hastings, Minnesota

Provider Information

NPI Number
1508582727
Entity Type
Individual
Name
Jackson Adonis Grey
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 19, 2022
Last Updated
Oct 19, 2022

Practice Location

Address
1294 18TH ST E
ZIP Code
55033-3680
Phone
(651) 888-4462

Specialties & Taxonomy Codes

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

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