Individual
GENESIS GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 27TH AVE, MISSOULA, MT 59804-5152
(619) 994-9068
Mailing address
1900 27TH AVE, MISSOULA, MT 59804-5136
(619) 994-9068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO18321
NC
101Y00000X
Counselor
SC61406356
WA
101YM0800X
Mental Health Counselor
Primary
BBH-LCSW-LIC-72746
MT
104100000X
Social Worker
Primary
BBH-LCSW-LIC-72746
MT
104100000X
Social Worker
CO18321
NC
104100000X
Social Worker
SC61406356
WA
Other
Enumeration date
07/28/2021
Last updated
01/23/2026
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