Jennifer Gross
Counselor, Addiction (Substance Use Disorder) in San Diego, CA. Individual provider (NPI-1).
NPI number1295520161
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1295520161
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Gross
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2025
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 16730-RAC | CA | Yes |
Practice location
286 Euclid AveSan Diego, CA 92114-3610
Phone 198-596-2706 · Fax 631-819-2770
Mailing address
286 Euclid AveSan Diego, CA 92114-3610
Phone 198-596-2706 · Fax 631-819-2770
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