person
Mr. David Stephen Gray, LCPC
Professional Counselor in Lake Villa, Illinois
NPI 1649636077

David Stephen Gray is a Professional Counselor based in Lake Villa, IL and is specialized in Professional. David Stephen Gray practices in Lake Villa, IL and has the professional credentials of LCPC. The NPI Number for David Stephen Gray is 1649636077 and holds a License No. 178011708 (Illinois).

The current practice location address for David Stephen Gray is 20854 W Genoa Ave, Lake Villa, IL and can be reached out via phone at 440-714-8822.

Location: 20854 W Genoa Ave, Lake Villa, IL, 60046-5411
person
Provider Profile Details
NPI Number
1649636077
Provider Name
David Stephen Gray
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
20854 W Genoa Ave, Lake Villa, IL, 60046-5411
Phone Number
440-714-8822
Fax Number
Provider Enumeration Date
01/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20854 W Genoa Ave
City
State
Zip
60046-8957
Phone Number
440-714-8822
Fax Number
person
Provider Business Mailing Address Details
Address
20854 W Genoa Ave
City
State
Zip
60046-8957
Phone Number
440-714-8822
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178011708 (Illinois)
Definition
Definition to come...
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