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Kimberly Jean Gray, MS,LPC,CM
Professional Counselor in Eugene, Oregon
NPI 1629110853

Kimberly Jean Gray is a Professional Counselor based in Springfield, OR and is specialized in Professional. Kimberly Jean Gray practices in Eugene, OR and has the professional credentials of MS,LPC,CM. The NPI Number for Kimberly Jean Gray is 1629110853 and holds a License No. 21-QMHP-R-0833 (Oregon).

The current practice location address for Kimberly Jean Gray is 66 Club Rd Ste 160, Eugene, OR and can be reached out via phone at 541-345-1722 and via fax at 541-485-7049. You can also correspond with Kimberly Jean Gray through the mailing address at PO BOX 70779, SPRINGFIELD, OR - 97475-0137 (mailing address contact number: 541-345-1722).

Location: 66 Club Rd Ste 160, Eugene, OR, 97475-0137
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Provider Profile Details
NPI Number
1629110853
Provider Name
Kimberly Jean Gray
Credential
MS,LPC,CM
Provider Entity Type
Individual
Gender
Female
Address
66 Club Rd Ste 160, Eugene, OR, 97475-0137
Phone Number
541-345-1722
Fax Number
541-485-7049
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3893 05 OK
500796814 05 OR
12140003 01 CAQH ID
institution
Provider Business Practice Location Address Details
Address
66 Club Rd Ste 160
City
State
Zip
97401-2439
Phone Number
541-345-1722
Fax Number
541-485-7049
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Provider Business Mailing Address Details
Address
Po Box 70779
City
State
Zip
97475-0137
Phone Number
541-345-1722
Fax Number
541-485-7049
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3893 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
21-QMHP-R-0833 (Oregon)
Definition
Definition to come...
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