Individual
LAURA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2577 S FIVE MILE RD STE 101, BOISE, ID 83709-2325
(208) 639-1897
Mailing address
2577 S FIVE MILE RD STE 101, BOISE, ID 83709-2325
(208) 639-1897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9773
ID
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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