Individual
CARL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 234-2006
Mailing address
343 W BAGLEY RD, BEREA, OH 44017-1370
(440) 260-6835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.191596
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/02/2024
Last updated
02/20/2025
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