Individual provider · Type 1 NPI

Patricia Louise Gray, 15653-130

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1467714261 Active

Practice location

2677 N 40th St
Milwaukee, WI 53210-2505

Call (414) 447-1965 Map

Fax (414) 874-2820

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15653-130 (WI)

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

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About NPI 1467714261

Patricia Louise Gray, 15653-130's National Provider Identifier is 1467714261, issued on Jun 8, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 8, 2012.