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Nicole Lorraine Gray
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1245933019

Nicole Lorraine Gray is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Nicole Lorraine Gray practices in San Diego, CA. The NPI Number for Nicole Lorraine Gray is 1245933019 and holds a License No. (California).

The current practice location address for Nicole Lorraine Gray is 3767 Central Ave, San Diego, CA and can be reached out via phone at 619-584-4010 and via fax at 619-278-0770.

Location: 3767 Central Ave, San Diego, CA, 92105-2599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245933019
Provider Name
Nicole Lorraine Gray
Credential
Provider Entity Type
Individual
Gender
Female
Address
3767 Central Ave, San Diego, CA, 92105-2599
Phone Number
619-584-4010
Fax Number
619-278-0770
Provider Enumeration Date
03/22/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3767 Central Ave
City
San Diego
State
California
Zip
92105-2599
Phone Number
619-584-4010
Fax Number
619-278-0770
person
Provider Business Mailing Address Details
Address
3767 Central Ave
City
San Diego
State
California
Zip
92105-2599
Phone Number
619-584-4010
Fax Number
619-278-0770
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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