Individual provider · Type 1 NPI

Beau Martin Gray, LPCC

Professional Counselor · Maplewood, MN

NPI number 1497181598 Active

Practice location

2001 Beam Ave
Maplewood, MN 55109

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1778 (MN)

Professional Counselor: Definition to come...

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About NPI 1497181598

Beau Martin Gray, LPCC's National Provider Identifier is 1497181598, issued on Sep 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Maplewood, MN. The record was last updated on Jun 12, 2018.