Individual
JENNA JOANNE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
419 ALFRED ST, BIDDEFORD, ME 04005-3747
(207) 494-8010
(207) 494-8471
Mailing address
419 ALFRED ST, BIDDEFORD, ME 04005-3747
(207) 494-8010
(207) 494-8471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC8857
ME
Other
Enumeration date
03/10/2022
Last updated
09/17/2024
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