Individual
SHANA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
100420771
WI
171400000X
Health & Wellness Coach
100420771
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
Update your record
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