Cody Tyler Gruber
NPI #1972272888 in Walterboro, South Carolina
Provider Information
- NPI Number
- 1972272888
- Entity Type
- Individual
- Name
- Cody Tyler Gruber
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 13, 2021
- Last Updated
- Mar 14, 2022
Practice Location
- Address
- 1439 THUNDERBOLT DRIVE
- City
- Walterboro
- State
- South Carolina
- ZIP Code
- 29488
- Phone
- (843) 538-4343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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