Individual
JAMES MACGREGOR ANTHONY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4869 BROADWAY ST, BOULDER, CO 80304-0523
(303) 617-2300
Mailing address
4869 BROADWAY ST, BOULDER, CO 80304-0523
(804) 370-6539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW.09932808
CO
101YM0800X
Mental Health Counselor
Primary
LSW.0009924677
CO
Other
Enumeration date
06/26/2023
Last updated
03/18/2026
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