Individual provider · Type 1 NPI

Susan Louise Gray, LVN

Mental Health Counselor · San Jacinto, CA

NPI number 1407045719 Active

Practice location

102 W Main St
San Jacinto, CA 92583-4121

Fax (951) 487-8458

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XVN149539 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1407045719

Susan Louise Gray, LVN's National Provider Identifier is 1407045719, issued on Oct 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jacinto, CA. The record was last updated on Oct 23, 2007.