Queen, Gregory Brenton

Queen, Gregory Brenton is an sole proprietor health care provider with primary practice located at 825 3Rd Ave Nw Ste 2 , Hickory NC 28601-4806. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Queen, Gregory Brenton can be contacted via phone (704) 534-7110.

Contact Information

Primary practice address
825 3Rd Ave Nw Ste 2 Hickory NC 28601-4806
Phone: (704) 534-7110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1107 North Carolina

Profile Details

NPI number 1548330905
LBN Legal business name Queen, Gregory Brenton
Credentials MS, LMFT, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Dec 13th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548330905 NPPES
North Carolina MEDICAID 6105107

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