Individual
WREN ST. GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1415 N OAKES ST, TACOMA, WA 98406-7416
(805) 506-9683
Mailing address
PO BOX 1776, DISCOVERY BAY, CA 94505-7776
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
132834
CA
106H00000X
Marriage & Family Therapist
LF61355544
WA
Other
Enumeration date
02/02/2019
Last updated
02/19/2025
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