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Contact Information

LISA GRAY, LPC
2885 W RICK DR
PORT HURON, MI48060
 Phone: 810-300-8404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for LISA GRAY · (Female)

NPI # 1205242161
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 07/10/2014
Last updated 07/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6401014338
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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