Individual
MR. GORDON HUNTER GRAY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
9321 W THOMAS RD STE 100, PHOENIX, AZ 85037-3388
(480) 804-0326
(602) 368-8211
Mailing address
9321 W THOMAS RD STE 100, PHOENIX, AZ 85037-3388
(480) 804-0326
(602) 368-8211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC 10039
AZ
101YM0800X
Mental Health Counselor
Primary
LAC18061
AZ
Other
Enumeration date
12/18/2014
Last updated
01/31/2020
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