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Individual

JEFFREY L GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
2680 W MARKET ST, FAIRLAWN, OH 44333-4215
(234) 867-5001
Mailing address
2680 W MARKET ST, FAIRLAWN, OH 44333-4215
(234) 867-5001

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1196
TN
101YP2500X
Professional Counselor
Primary
E.2404619
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1501518
OH
Enumeration date
07/03/2006
Last updated
01/07/2026
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