Individual provider · Type 1 NPI
Cynthia Ann Gray, CADC-II, ICADC
Addiction (Substance Use Disorder) Counselor · Banning, CA
NPI number
1871940502
Active
Practice location
628 S 8th St
Banning, CA 92220-4512
Fax (951) 849-8262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A020400815 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1871940502
Cynthia Ann Gray, CADC-II, ICADC's National Provider Identifier is 1871940502, issued on May 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Banning, CA. The record was last updated on May 23, 2016.