Jackson Adonis Grey
Jackson Adonis Grey is an Addiction (Substance Use Disorder) Counselor in Hastings, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1294 18th St EHastings, MN 55033-3680
Phone: (651) 888-4462
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1508582727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2022 |
| Last updated in NPPES | October 19, 2022 |
| Certification date | October 19, 2022 |
| Mailing address | 1294 18th St E, Hastings, MN 55033-3680 |
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