Individual provider · Type 1 NPI

Kaylen Celine Rosa Gray

Mental Health Counselor · Fairbanks, AK

NPI number 1114501772 Active

Practice location

3101 Lathrop St
Fairbanks, AK 99701-7426

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1114501772

Kaylen Celine Rosa Gray's National Provider Identifier is 1114501772, issued on May 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on May 10, 2021.