Gray, David Stephen

Gray, David Stephen is an sole proprietor health care provider with primary practice located at 20854 W Genoa Ave , Lake Villa IL 60046-8957. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gray, David Stephen can be contacted via phone (440) 714-8822.

Contact Information

Primary practice address
20854 W Genoa Ave Lake Villa IL 60046-8957
Phone: (440) 714-8822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178011708 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180011813 Illinois

Profile Details

NPI number 1649636077
LBN Legal business name Gray, David Stephen
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2016
Last updated Apr 1st, 2019 - about 7 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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