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
Phone: (801) 851-7112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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