Individual
RANDI SHURIEE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
3740 E SOUTHERN AVE STE 209, MESA, AZ 85206-2512
(480) 553-7743
Mailing address
3740 E SOUTHERN AVE STE 209, MESA, AZ 85206-2512
(480) 553-7743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16731
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/25/2019
Last updated
04/25/2019
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