Individual provider · Type 1 NPI
Ayanna Gray
Mental Health Counselor · Fort Bragg, CA
NPI number
1972152304
Active
Practice location
544 S Main St Unit B
Fort Bragg, CA 95437-5107
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1972152304
Ayanna Gray's National Provider Identifier is 1972152304, issued on Sep 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Bragg, CA. The record was last updated on Sep 9, 2019.