Healthcare Provider Details

I. General information

NPI: 1376460345
Provider Name (Legal Business Name): KATHERINE GRAY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N 12TH ST
GRAND JUNCTION CO
81506-2863
US

IV. Provider business mailing address

3150 N 12TH ST
GRAND JUNCTION CO
81506-2863
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-5707
  • Fax: 970-242-7245
Mailing address:
  • Phone: 970-242-5707
  • Fax: 970-242-7245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023979
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: