Gray, Amber Deneen

Gray, Amber Deneen is an sole proprietor health care provider with primary practice located at Gray'S Trauma-Informed Care Services Corp #1401, Lake Elsinore CA 92530. She recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Forensic, Other Service Providers / Community Health Worker, Other Service Providers / Health Educator, Agencies / Case Management, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Research, Ambulatory Health Care Facilities / Rural Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Other Service Providers / Prevention Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Gray, Amber Deneen can be contacted via phone (951) 382-4841.

Contact Information

Primary practice address
Gray'S Trauma-Informed Care Services Corp #1401 Lake Elsinore CA 92530
Phone: (951) 382-4841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X N37-048-4108 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 28400 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X 28400 California
Other Service Providers / Community Health Worker 172V00000X 025255 California
Other Service Providers / Health Educator 174H00000X 025255 California
Agencies / Case Management 251B00000X California
Ambulatory Health Care Facilities / Health Service 261QH0100X 025255 California
Ambulatory Health Care Facilities / Research 261QR1100X 025255 California
Ambulatory Health Care Facilities / Rural Health 261QR1300X 025255 California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X N37-048-4108 California
Other Service Providers / Prevention Professional 405300000X N37-48-4108 California
Agencies / Community/Behavioral Health 251S00000X N37-048-4108 California

Profile Details

NPI number 1760670350
LBN Legal business name Gray, Amber Deneen
Credentials CHTVSP, CCFDVC, DBH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Jan 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760670350 NPPES
California Other 28400 NATIONAL ASSOCIATION OF FORENSIC COUNSELORS
California Other 67040030471980 NATIONAL ASSOCIATION OF FORENSIC COUNSELORS
California Other N37-048-4108 NATIONAL ASSOCIATION OF FORENSIC COUNSELORS

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