Individual
MS. DEBORAH A GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC, CCS
Contact information
Practice address
147 ACADEMY ST, PRESQUE ISLE, ME 04769
(207) 764-6825
(207) 764-6077
Mailing address
PO BOX 509, PRESQUE ISLE, ME 04769-0509
(207) 764-6825
(207) 764-6077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1689
ME
1041C0700X
Clinical Social Worker
CCS2869
ME
1041C0700X
Clinical Social Worker
Primary
LC6879
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215955307
—
ME
Enumeration date
07/17/2006
Last updated
10/03/2019
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