Ryan Gray
Counselor in San Jose, CA. Individual provider (NPI-1).
NPI number1669979050
StatusActive
Last updated in NPPESApr 11, 2018
Details
- NPI
- 1669979050
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Gray
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2018
- Last updated
- Apr 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1485 Saratoga Ave Ste 200San Jose, CA 95129-4965
Phone 877-991-0009 · Fax 877-207-9553
Mailing address
1485 Saratoga Ave Ste 200San Jose, CA 95129-4965
Phone 877-991-0009 · Fax 877-207-9553
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