Gray, Jordan Robert

Gray, Jordan Robert is an individual health care provider with primary practice located at 151 S University Ave Ste 1500 , Provo UT 84601-4427. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gray, Jordan Robert can be contacted via phone (801) 851-7112.

Contact Information

Primary practice address
151 S University Ave Ste 1500 Provo UT 84601-4427
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7903342-6009 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7903342-6004 Utah

Profile Details

NPI number 1235414350
LBN Legal business name Gray, Jordan Robert
Credentials PRO. COUNSELOR
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2011
Last updated Jun 10th, 2020 - about 6 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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