Organization
SOUTHEAST COUNSELING & COACHING CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE J GRAY PSY.D (PRESIDENT)
(303) 617-8600
Entity
Organization
Contact information
Practice address
20971 E SMOKY HILL RD STE 213, CENTENNIAL, CO 80015-5186
(303) 617-8600
(303) 617-8603
Mailing address
22793 E DAVIES DR, AURORA, CO 80016-2384
(303) 617-8600
(303) 617-8603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1804
CO
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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