Organization · Type 2 NPI

David Gray P.c.

Mental Health Counselor · Libertyville, IL

NPI number 1306306378 Active

Practice location

1580 S Milwaukee Ave
Libertyville, IL 60048-3764

Call (440) 714-8822 Map

Mailing address

22072 W Engle Dr
Lake Villa, IL 60046-5411

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306306378

David Gray P.c.'s National Provider Identifier is 1306306378, issued on Mar 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Libertyville, IL. The record was last updated on Jun 10, 2019.