Organization
THERESE GRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESE E GRAY LPC, LRC (COUNSELOR)
(973) 953-5771
Entity
Organization
Contact information
Practice address
2186 HALSEY ST, UNION, NJ 07083-5110
(973) 953-5771
(908) 686-3859
Mailing address
2186 HALSEY ST, UNION, NJ 07083-5110
(973) 953-5771
(908) 686-3859
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00239500
NJ
251S00000X
Community/Behavioral Health Agency
37RC00244100
NJ
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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