Deacon, Gregory Scot

Deacon, Gregory Scot is an individual health care provider with primary practice located at 201 Sheldon Blvd Se , Grand Rapids MI 49503-4513. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Deacon, Gregory Scot can be contacted via phone (616) 459-4212.

Contact Information

Primary practice address
201 Sheldon Blvd Se Grand Rapids MI 49503-4513
Phone: (616) 459-4212
Fax: (616) 774-9022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 6301010405 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301010405 Michigan
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301010405 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6301010405 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6301010405 Michigan

Profile Details

NPI number 1689740078
LBN Legal business name Deacon, Gregory Scot
Credentials LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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