Individual
ANNA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, PSYD.
Contact information
Practice address
21 CHERRY ST, PETALUMA, CA 94952-2121
(141) 530-8999
Mailing address
21 CHERRY ST, PETALUMA, CA 94952-2121
(415) 308-9999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31257
CA
106H00000X
Marriage & Family Therapist
MFC 40052
CA
Other
Enumeration date
05/15/2007
Last updated
04/27/2022
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