Individual provider · Type 1 NPI

Ivy Lynn Gray, LAC

Mental Health Counselor · Long Valley, NJ

NPI number 1104721125 Active

Practice location

39 Zellers Rd
Long Valley, NJ 07853-3643

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00957700 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1104721125

Ivy Lynn Gray, LAC's National Provider Identifier is 1104721125, issued on Oct 9, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Long Valley, NJ. The record was last updated on Oct 9, 2026.