Individual
AUTUMN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 NW 54TH ST STE 308, SEATTLE, WA 98107-3573
(206) 551-6270
Mailing address
PO BOX 17481, SEATTLE, WA 98127-1181
(206) 551-6270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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