Individual
ANGELA M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCA
Contact information
Practice address
321 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2915
(714) 687-0077
Mailing address
443 E AMERIGE AVE, FULLERTON, CA 92832-2005
(714) 624-0989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13861210
CA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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