Individual provider · Type 1 NPI

Ray Gradisar, LPC

Professional Counselor · Pueblo, CO

NPI number 1881737559 Active

Practice location

1304 Chinook Ln
Pueblo, CO 81001-1851

Fax (719) 584-0119

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1881737559

Ray Gradisar, LPC's National Provider Identifier is 1881737559, issued on Feb 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pueblo, CO. The record was last updated on Jul 8, 2007.