Individual
ANGELIQUE MICHELLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3184 CHURN CREEK RD, REDDING, CA 96002
(530) 768-2455
Mailing address
PO BOX 496048, REDDING, CA 96049-6048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/16/2007
Last updated
07/03/2018
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