person
Olivia Gray
Professional Counselor in Champaign, Illinois
NPI 1285170134

Olivia Gray is a Professional Counselor based in Champaign, IL and is specialized in Professional. Olivia Gray practices in Champaign, IL. The NPI Number for Olivia Gray is 1285170134 and holds a License No. 178.009686 (Illinois).

The current practice location address for Olivia Gray is 309 W Clark St, Champaign, IL and can be reached out via phone at 217-398-9066.

Location: 309 W Clark St, Champaign, IL, 61820-4637
person
Provider Profile Details
NPI Number
1285170134
Provider Name
Olivia Gray
Credential
Provider Entity Type
Individual
Gender
Female
Address
309 W Clark St, Champaign, IL, 61820-4637
Phone Number
217-398-9066
Fax Number
Provider Enumeration Date
01/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
309 W Clark St
City
State
Zip
61820-4637
Phone Number
217-398-9066
Fax Number
person
Provider Business Mailing Address Details
Address
309 W Clark St
City
State
Zip
61820-4637
Phone Number
217-398-9066
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.009686 (Illinois)
Definition
Definition to come...
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