Individual provider · Type 1 NPI

Theresa Gray

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1972807246 Active

Practice location

5012 S La Brea Ave Ste 2
Los Angeles, CA 90056-1863

Call (323) 290-0200 Map

Fax (323) 290-0202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1972807246

Theresa Gray's National Provider Identifier is 1972807246, issued on Dec 30, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 30, 2010.