Individual
ANNETTE RENEE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
371 W 1ST ST, DAYTON, OH 45402-3012
(937) 212-8726
Mailing address
371 W 1ST ST, DAYTON, OH 45402-3012
(937) 212-8726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188656
OH
101YM0800X
Mental Health Counselor
—
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Enumeration date
02/14/2025
Last updated
10/10/2025
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