Individual
JOHN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 EDMONDS RD BLDG D, REDWOOD CITY, CA 94062-3813
(650) 209-1100
Mailing address
240 EDMONDS RD BLDG D, REDWOOD CITY, CA 94062-3813
(650) 209-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
167G00000X
Licensed Psychiatric Technician
Primary
PT31312
CA
Other
Enumeration date
06/13/2016
Last updated
05/01/2025
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