Provider Demographics
NPI:1033861620
Name:GREGA, JOHN JR
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:GREGA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 LANCASTER ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-2734
Mailing Address - Country:US
Mailing Address - Phone:740-249-8061
Mailing Address - Fax:740-371-5499
Practice Address - Street 1:107 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2734
Practice Address - Country:US
Practice Address - Phone:740-249-8061
Practice Address - Fax:740-371-5499
Is Sole Proprietor?:No
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health