Individual provider · Type 1 NPI

Joseph Gray, PEER SUPPORT SPECIAL

Addiction (Substance Use Disorder) Counselor · Woodland, CA

NPI number 1114770088 Active

Practice location

215 W Beamer St
Woodland, CA 95695-2510

Call (530) 759-3136 Map

Mailing address

3939 Madison Ave Apt 256
North Highlands, CA 95660-6319

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XMPSS-NIDMLU (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1449140726 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114770088

Joseph Gray, PEER SUPPORT SPECIAL's National Provider Identifier is 1114770088, issued on Apr 9, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodland, CA. The record was last updated on Sep 3, 2026.