Individual provider · Type 1 NPI

Shannon Gray

Addiction (Substance Use Disorder) Counselor · Desert Hot Springs, CA

NPI number 1538533419 Active

Practice location

12890 Quinta Way
Desert Hot Springs, CA 92240-4852

Call (760) 329-2959 Map

Fax (760) 329-2953

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR38901214 (CA)

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

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About NPI 1538533419

Shannon Gray's National Provider Identifier is 1538533419, issued on Nov 16, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Desert Hot Springs, CA. The record was last updated on Nov 16, 2015.