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David Gray P.c.
Mental Health Counselor in Libertyville, Illinois
NPI 1306306378

David Gray P.c. is a Mental Health Counselor based in Lake Villa, IL and is specialized in Mental Health. David Gray P.c. practices in Libertyville, IL. The NPI Number for David Gray P.c. is 1306306378 and holds a License No. (Illinois).

The current practice location address for David Gray P.c. is 1580 S Milwaukee Ave, Libertyville, IL and can be reached out via phone at 440-714-8822.

Location: 1580 S Milwaukee Ave, Libertyville, IL, 60046-5411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306306378
Provider Name
David Gray P.c.
Credential
Provider Entity Type
Organization
Address
1580 S Milwaukee Ave, Libertyville, IL, 60046-5411
Phone Number
440-714-8822
Fax Number
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649636077 01 IL NPI
institution
Provider Business Practice Location Address Details
Address
1580 S Milwaukee Ave
City
Libertyville
State
Illinois
Zip
60048-3764
Phone Number
440-714-8822
Fax Number
person
Provider Business Mailing Address Details
Address
1580 S Milwaukee Ave
City
Libertyville
State
Illinois
Zip
60048-3764
Phone Number
440-714-8822
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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