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Ms. Athena D Gray, LMHC
Mental Health Counselor in Captain Cook, Hawaii
NPI 1881248250

Athena D Gray is a Mental Health Counselor based in Captain Cook, HI and is specialized in Mental Health. Athena D Gray practices in Captain Cook, HI and has the professional credentials of LMHC. The NPI Number for Athena D Gray is 1881248250 and holds a License No. 585 (Hawaii).

The current practice location address for Athena D Gray is 84-5210 Painted Church Rd, Captain Cook, HI and can be reached out via phone at 808-640-4447.

Location: 84-5210 Painted Church Rd, Captain Cook, HI, 96704-8410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881248250
Provider Name
Athena D Gray
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
84-5210 Painted Church Rd, Captain Cook, HI, 96704-8410
Phone Number
808-640-4447
Fax Number
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
585 01 HI MENTAL HEALTH COUNSELOR STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
84-5210 Painted Church Rd
City
Captain Cook
State
Hawaii
Zip
96704-8410
Phone Number
808-640-4447
Fax Number
person
Provider Business Mailing Address Details
Address
84-5210 Painted Church Rd
City
Captain Cook
State
Hawaii
Zip
96704-8410
Phone Number
808-640-4447
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
585 (Hawaii)
Definition
Definition to come...
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