Individual provider · Type 1 NPI
Jason Gray, LPC, LADC
Professional Counselor · Southbury, CT
NPI number
1164874475
Active
Practice location
33 Bullet Hill Rd Ste 301
Southbury, CT 06488-4697
Mailing address
33 Bullet Hill Rd Ste 216
Southbury, CT 06488-4699
Other practice locations
- 2 Corporate Dr Ste 146, Shelton, CT 06484-6238 · (203) 673-1099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7232 (CT) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001368 (CT) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1164874475
Jason Gray, LPC, LADC's National Provider Identifier is 1164874475, issued on Jul 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southbury, CT. The record was last updated on Oct 30, 2024.