person
Sara Gray, MED,CADC
Addiction (Substance Use Disorder) Counselor in Rathdrum, Idaho
NPI 1205583234

Sara Gray is an Addiction (Substance Use Disorder) Counselor based in Rathdrum, ID and is specialized in Addiction (Substance Use Disorder). Sara Gray practices in Rathdrum, ID and has the professional credentials of MED,CADC. The NPI Number for Sara Gray is 1205583234 and holds a License No. 10223 (Idaho).

The current practice location address for Sara Gray is 14775 N Kimo Ct Ste B, Rathdrum, ID and can be reached out via phone at 208-687-0538 and via fax at 208-687-3185.

Location: 14775 N Kimo Ct Ste B, Rathdrum, ID, 83858-8762
person
Provider Profile Details
NPI Number
1205583234
Provider Name
Sara Gray
Credential
MED,CADC
Provider Entity Type
Individual
Gender
Female
Address
14775 N Kimo Ct Ste B, Rathdrum, ID, 83858-8762
Phone Number
208-687-0538
Fax Number
208-687-3185
Provider Enumeration Date
03/09/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437270097 05 ID
institution
Provider Business Practice Location Address Details
Address
14775 N Kimo Ct Ste B
City
State
Zip
83858-8762
Phone Number
208-687-0538
Fax Number
208-687-3185
person
Provider Business Mailing Address Details
Address
14775 N Kimo Ct Ste B
City
State
Zip
83858-8762
Phone Number
208-687-0538
Fax Number
208-687-3185
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10223 (Idaho)
Definition
Definition to come...
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