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Mr. James William Gray III, LMSW
Mental Health Counselor in Lewiston, Idaho
NPI 1649567959

James William Gray III is a Mental Health Counselor based in Lewiston, ID and is specialized in Mental Health. James William Gray III practices in Lewiston, ID and has the professional credentials of LMSW. The NPI Number for James William Gray III is 1649567959 and holds a License No. LMSW-31312 (Idaho).

The current practice location address for James William Gray III is 621 Main St, Lewiston, ID and can be reached out via phone at 208-750-3000 and via fax at 208-750-1244. You can also correspond with James William Gray III through the mailing address at 621 MAIN ST, LEWISTON, ID - 83501-1871 (mailing address contact number: 208-750-3000).

Location: 621 Main St, Lewiston, ID, 83501-1871
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Provider Profile Details
NPI Number
1649567959
Provider Name
James William Gray III
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
621 Main St, Lewiston, ID, 83501-1871
Phone Number
208-750-3000
Fax Number
208-750-1244
Provider Enumeration Date
07/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806162000 05 ID
institution
Provider Business Practice Location Address Details
Address
621 Main St
City
State
Zip
83501-1871
Phone Number
208-750-3000
Fax Number
208-750-1244
person
Provider Business Mailing Address Details
Address
621 Main St
City
State
Zip
83501-1871
Phone Number
208-750-3000
Fax Number
208-750-1244
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LMSW-31312 (Idaho)
Definition
Definition to come...
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