| Cody Tyler Gruber, | |
|
1439 Thunderbolt Drive, Walterboro, SC 29488 | |
| (843) 538-4343 | |
| Not Available |
| Full Name | Cody Tyler Gruber |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1439 Thunderbolt Drive, Walterboro, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972272888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 101824814 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Tyler Gruber, 1439 Thunderbolt Drive, Walterboro, SC 29488 Ph: () - | Cody Tyler Gruber, 1439 Thunderbolt Drive, Walterboro, SC 29488 Ph: (843) 538-4343 |
Jessalin Rose Good, Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 Forest Cir, Walterboro, SC 29488 Phone: 843-524-8899 | |
Mr. Roger Cutter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1439 Thunderbolt Dr, Walterboro, SC 29488 Phone: 803-596-1685 | |
Kyong Milette, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 Forest Cir, Walterboro, SC 29488 Phone: 843-549-1551 | |
Katherine Higgins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1439 Thunderbolt Dr, Walterboro, SC 29488 Phone: 843-538-4343 Fax: 843-538-7613 | |
Alicia Danielle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1439 Thunderbolt Dr, Walterboro, SC 29488 Phone: 843-538-4343 | |
Billie Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1439 Thunderbolt Dr, Walterboro, SC 29488 Phone: 860-201-6784 | |
Mr. James Lee Reavis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1439 Thunderbolt Dr, Walterboro, SC 29488 Phone: 843-538-4343 |