Individual
BREANN MICHELE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
920 WEST ST STE 116, PERU, IL 61354-2765
(815) 780-3696
Mailing address
301 HILLSIDE AVE, OTTAWA, IL 61350-1021
(815) 993-0836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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