Individual
ANGELA THEXTON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 E COMMONWEALTH AVE, FULLERTON, CA 92832-1911
(714) 992-4770
(714) 992-5475
Mailing address
218 E COMMONWEALTH AVE, FULLERTON, CA 92832-1911
(714) 992-4770
(714) 992-5475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10236
CA
Other
Enumeration date
01/08/2014
Last updated
03/22/2022
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