MR. David Stephen Gray, LCPC
NPI #1649636077 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1649636077
- Entity Type
- Individual
- Name
- MR. David Stephen Gray, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Jan 14, 2016
- Last Updated
- Apr 1, 2019
Practice Location
- Address
- 20854 W GENOA AVE
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046-8957
- Phone
- (440) 714-8822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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