Individual provider · Type 1 NPI

Kenton Andrew Gray, BS, MC, LPC

Mental Health Counselor · Boise, ID

NPI number 1194049916 Active

Practice location

6731 N Waterlilly Way
Boise, ID 83714-4043

Call (208) 608-9132 Map

Mailing address

6731 N Waterlilly Ave
Boise, ID 83714

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-3735 (ID)
Professional Counselor 101YP2500XLPC-3735 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1194049916

Kenton Andrew Gray, BS, MC, LPC's National Provider Identifier is 1194049916, issued on Mar 23, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Mar 23, 2010.