Individual
MRS. CONNIE REGINA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
700 NE 87TH AVE STE 270, VANCOUVER, WA 98664
(360) 882-2778
(360) 604-1764
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1844
OK
101YM0800X
Mental Health Counselor
Primary
LH60805339
WA
Other
Enumeration date
03/16/2007
Last updated
11/05/2018
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