person
James Albert Gray, LADC
Addiction (Substance Use Disorder) Counselor in Perham, Minnesota
NPI 1821354010

James Albert Gray is an Addiction (Substance Use Disorder) Counselor based in Perham, MN and is specialized in Addiction (Substance Use Disorder). James Albert Gray practices in Perham, MN and has the professional credentials of LADC. The NPI Number for James Albert Gray is 1821354010 and holds a License No. 300475 (Minnesota).

The current practice location address for James Albert Gray is 840 E Main St, Perham, MN and can be reached out via phone at 218-346-6100 and via fax at 218-346-6112.

Location: 840 E Main St, Perham, MN, 56573-1934
person
Provider Profile Details
NPI Number
1821354010
Provider Name
James Albert Gray
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
840 E Main St, Perham, MN, 56573-1934
Phone Number
218-346-6100
Fax Number
218-346-6112
Provider Enumeration Date
04/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43-2066657 01 MN FEIN
institution
Provider Business Practice Location Address Details
Address
840 E Main St
City
State
Zip
56573-1934
Phone Number
218-346-6100
Fax Number
218-346-6112
person
Provider Business Mailing Address Details
Address
840 E Main St
City
State
Zip
56573-1934
Phone Number
218-346-6100
Fax Number
218-346-6112
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300475 (Minnesota)
Definition
Definition to come...
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