Individual
BRIAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4080
Mailing address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW 22061
—
1041C0700X
Clinical Social Worker
Primary
LCSW29414
CA
Other
Enumeration date
08/01/2007
Last updated
06/20/2022
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