Individual provider · Type 1 NPI

Alice Marie Gray, PSYD

Mental Health Counselor · Idaho Falls, ID

NPI number 1164659975 Active

Practice location

1740 E 17th St
Idaho Falls, ID 83404-6375

Fax (208) 529-3184

Mailing address

1260 Gary St
Blackfoot, ID 83221-2009

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC -4606 (ID)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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About NPI 1164659975

Alice Marie Gray, PSYD's National Provider Identifier is 1164659975, issued on Jun 18, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 18, 2011.