Individual provider · Type 1 NPI
Jennifer Leianne Gray
Mental Health Counselor · Holly Hill, FL
NPI number
1093621617
Active
Practice location
721 Ridgewood Ave Ste 6
Holly Hill, FL 32117-3647
Mailing address
40 River Ridge Trl
Ormond Beach, FL 32174-4315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH26667 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1093621617
Jennifer Leianne Gray's National Provider Identifier is 1093621617, issued on Aug 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Holly Hill, FL. The record was last updated on Aug 22, 2026.