Individual
H GRAY OTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8817 REDWOOD RD, WEST JORDAN, UT 84088-9271
(801) 748-2270
(801) 748-2271
Mailing address
3437 BEAR CANYON LN, CEDAR HILLS, UT 84062-8014
(801) 885-8585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5740241-6004
UT
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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