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Justin Gray

Counselor, Mental Health in Camarillo, CA. Individual provider (NPI-1).

NPI number1174977458
StatusActive
Last updated in NPPESApr 22, 2016

Details

NPI
1174977458
Entity type
Individual (NPI-1)
Name
Justin Gray
Sex
Male
Sole proprietor
No
Enumeration date
Apr 22, 2016
Last updated
Apr 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1756 S Lewis Rd
Camarillo, CA 93012-8520

Phone 805-383-3669 · Fax 805-383-3692

Mailing address

1756 S Lewis Rd
Camarillo, CA 93012-8520

Phone 805-383-3669 · Fax 805-383-3692

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