Individual
DARITA ROSE GRAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9728 S CALUMET AVE, CHICAGO, IL 60628-1430
(773) 310-0807
Mailing address
1350 E 47TH PL, CHICAGO, IL 60615-2005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
301-748
IL
101YM0800X
Mental Health Counselor
Primary
180015511
IL
101YM0800X
Mental Health Counselor
39005291
IN
Other
Enumeration date
06/23/2017
Last updated
06/27/2025
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