Gray, Jennifer Diane

Gray, Jennifer Diane is an individual health care provider with primary practice located at 510 E Moeller St , Prescott AZ 86301. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gray, Jennifer Diane can be contacted via phone (928) 420-8300.

Contact Information

Primary practice address
510 E Moeller St Prescott AZ 86301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770951725
LBN Legal business name Gray, Jennifer Diane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2015
Last updated Oct 25th, 2021 - about 5 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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