Individual provider · Type 1 NPI

Maricela H. Gray

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1376171280 Active

Practice location

205 W 9th St
San Pedro, CA 90731-3711

Fax (310) 521-9241

Mailing address

PO Box 921
San Pedro, CA 90733-0921

Other practice locations

  • 235 W 9th St, San Pedro, CA 90731-3711 · (310) 521-9209

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13992-RAC (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376171280

Maricela H. Gray's National Provider Identifier is 1376171280, issued on Mar 28, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Mar 28, 2020.