Individual
JASMINE RENEE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2142 WILLIAMS AVE, BENTON HARBOR, MI 49022-8018
(269) 252-1949
Mailing address
2142 WILLIAMS AVE, BENTON HARBOR, MI 49022-8018
(269) 252-1949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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