Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY WILLIAM GROSS, SAC-IT
Active Sole ProprietorDR. JEFFREY WILLIAM GROSS, SAC-IT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GREEN BAY, Wisconsin. NPI 1720865488 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GREEN BAY, WI
Registration Details
- NPI Number
- 1720865488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2023 (2.9037704555424 yrs)
- Last Updated
- Sep 20, 2025
- License
-
20388-130 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
540 N BROADWAY RM 142GREEN BAY, WI, 543033404Browse WI providers · Browse ZIP 54303
- Phone
- 9202465990
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT D LALONDE | CSAC | 1073503546 |
| DALE S RASMUSSEN | BSW CSAC | 1609867761 |
| JEANETTE PIEPER | BSW, CSAC | 1821089988 |
| MR. THOMAS L THOUNE | CSAC | 1790776565 |
| MR. EARLY R FULLER | CADCIII | 1518037613 |
| SHAWN THORNTON BLAKLEY | MSE, CADCIII | 1417022468 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.