Individual
KIMBERLY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DORCHESTER SQ N STE 102, WESTERVILLE, OH 43081-7305
(614) 890-8262
Mailing address
100 DORCHESTER SQ N STE 102, WESTERVILLE, OH 43081-7305
(614) 890-8262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311258042
—
OH
Enumeration date
02/26/2018
Last updated
05/25/2023
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