| David Ryan Gross, RAC | |
|
648 Latiolais Dr, Breaux Bridge, LA 70517-4231 | |
| (337) 332-4878 | |
| Not Available |
| Full Name | David Ryan Gross |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 648 Latiolais Dr, Breaux Bridge, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871373910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RAC-5079 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Ryan Gross, RAC 124 Jomela Dr Apt 9, Lafayette, LA 70503-2547 Ph: () - | David Ryan Gross, RAC 648 Latiolais Dr, Breaux Bridge, LA 70517-4231 Ph: (337) 332-4878 |
Julie Malveaux, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Richard St, Breaux Bridge, LA 70517 Phone: 337-332-1810 | |
Dawana Alexander, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Richard St, Breaux Bridge, LA 70517 Phone: 337-332-1810 | |
Courtney Journet, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Richard St, Breaux Bridge, LA 70517 Phone: 337-332-1810 | |
Luciana Dugas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Richard St, Breaux Bridge, LA 70517 Phone: 337-332-1810 | |
Talasha Tolliver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Richard St, Breaux Bridge, LA 70517 Phone: 337-332-1810 | |
Jessica Franks Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 N Main St, Breaux Bridge, LA 70517 Phone: 337-332-2844 Fax: 337-332-5458 | |
Nia Kenya Banks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Richard St, Breaux Bridge, LA 70517 Phone: 337-319-4376 |