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Individual

DR. AMBER DENEEN GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, DBH, CDVC, CVIS

Contact information

Practice address
52997 CARROUSEL CT, LAKE ELSINORE, CA 92532-7511
(951) 382-4841
Mailing address
52997 CARROUSEL CT, LAKE ELSINORE, CA 92532-7511
(951) 382-4841

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
28400
CA
101YP2500X
Professional Counselor
N37-048-4108
CA
103TF0200X
Forensic Psychologist
28400
CA
172V00000X
Community Health Worker
025255
CA
174H00000X
Health Educator
025255
CA
251B00000X
Case Management Agency
CA
251S00000X
Community/Behavioral Health Agency
Primary
N37-048-4108
CA
261QH0100X
Health Service Clinic/Center
025255
CA
261QR1100X
Research Clinic/Center
025255
CA
261QR1300X
Rural Health Clinic/Center
025255
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
N37-048-4108
CA
374U00000X
Home Health Aide
28400
CA
385HR2055X
Child Mental Illness Respite Care
28400
CA
405300000X
Prevention Professional
N37-048-4108
CA
405300000X
Prevention Professional
N37-48-4108
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28400
NATIONAL ASSOCIATION OF FORENSIC COUNSELORS
CA
01
67040030471980
IOM4 PROFESSIONAL DEVELOPMENT CONSULTATION
01
N37-048-4108
NATIONAL ORGANIZATION FOR VICTIM ASSISTANCE
CA
Enumeration date
10/09/2007
Last updated
08/21/2025
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