Individual provider · Type 1 NPI
Shanderico Gray
Mental Health Counselor · Crestview, FL
NPI number
1689240707
Active
Practice location
2802 Titleist Ln
Crestview, FL 32539-8335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PMH1761 (FL) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Crestview
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About NPI 1689240707
Shanderico Gray's National Provider Identifier is 1689240707, issued on May 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crestview, FL. The record was last updated on May 29, 2021.