Individual
JONI GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 KENAI SPUR HWY, KENAI, AK 99611-7807
(907) 283-3658
Mailing address
10200 KENAI SPUR HWY, KENAI, AK 99611-7807
(907) 283-3658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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