Leslie Gray
Counselor, Addiction (Substance Use Disorder) in East Hazel Crest, IL. Individual provider (NPI-1).
NPI number1982158184
StatusActive
Last updated in NPPESAug 5, 2016
Details
- NPI
- 1982158184
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leslie Gray
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2016
- Last updated
- Aug 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | IL | Yes |
Practice location
1909 Cheker SqEast Hazel Crest, IL 60429-1442
Phone 708-647-3331
Mailing address
1909 Cheker SqEast Hazel Crest, IL 60429-1442
Phone 708-647-3331
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All 88 Addiction (Substance Use Disorder) Counselor providers in East Hazel Crest · All 115 providers in East Hazel Crest
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