Individual provider · Type 1 NPI

Justin Gray

Mental Health Counselor · Camarillo, CA

NPI number 1174977458 Active

Practice location

1756 S Lewis Rd
Camarillo, CA 93012-8520

Fax (805) 383-3692

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174977458

Justin Gray's National Provider Identifier is 1174977458, issued on Apr 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Apr 22, 2016.