Individual provider · NPI-1
Bojena D Gross, CT
Counselor · Streetsboro, OH
NPI number1003620378
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1003620378
- Entity type
- Individual (NPI-1)
- Name
- Bojena D Gross
- Credential
- CT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2025
- Certification date
- Feb 3, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | C.2406401-TRNE | OH | Yes |
Practice location
9150 Market Square Dr Ste 201Streetsboro, OH 44241-4573
Phone 330-422-9005
Mailing address
151 Emerald AveStreetsboro, OH 44241-4119
Phone 304-972-9428
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