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Johnnie Ray Gray JR.
Mental Health Counselor in Riverside, California
NPI 1417538125

Johnnie Ray Gray JR. is a Mental Health Counselor based in Grand Terrace, CA and is specialized in Mental Health. Johnnie Ray Gray JR. practices in Riverside, CA. The NPI Number for Johnnie Ray Gray JR. is 1417538125 and holds a License No. (California).

The current practice location address for Johnnie Ray Gray JR. is 2085 Rustin Ave, Riverside, CA and can be reached out via phone at 951-955-7161.

Location: 2085 Rustin Ave, Riverside, CA, 92313-8317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417538125
Provider Name
Johnnie Ray Gray JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2085 Rustin Ave, Riverside, CA, 92313-8317
Phone Number
951-955-7161
Fax Number
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2085 Rustin Ave
City
Riverside
State
California
Zip
92507-2498
Phone Number
951-955-7161
Fax Number
person
Provider Business Mailing Address Details
Address
2085 Rustin Ave
City
Riverside
State
California
Zip
92507-2498
Phone Number
951-955-7161
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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