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Organization
DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC
Active
Organization
DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ANN GRAY PSYD, LCSW (OWNER)
(847) 212-3564
Entity
Organization
Contact information
Practice address
18411 CRENSHAW BLVD STE 260, TORRANCE, CA 90504-5054
(847) 212-3564
(424) 340-2359
Mailing address
18411 CRENSHAW BLVD STE 260, TORRANCE, CA 90504-5054
(847) 212-3564
(424) 340-2359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
28196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11890011
CAQH
—
Enumeration date
07/11/2018
Last updated
07/11/2018
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