Individual provider · Type 1 NPI

Letha Grayson, PSY.D, LADAC

Mental Health Counselor · Lancaster, CA

NPI number 1396305116 Active

Practice location

43845 10th St W
Lancaster, CA 93534-4800

Fax (661) 727-0006

Mailing address

1900 E Ocean Blvd Apt 415
Long Beach, CA 90802-6137

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist 103TA0400XLR02501016
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396305116

Letha Grayson, PSY.D, LADAC's National Provider Identifier is 1396305116, issued on Jun 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lancaster, CA. The record was last updated on Jun 14, 2019.