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NPI Code Detail

MEDICARE: BRITNI GRAY

MEDICARE: BRITNI GRAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1003648361
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITNI GRAY
Provider Business Mailing Address
First Line : 1974 MCKELVEY HILL DR
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-4006
Country : US
Telephone Number : 314-218-0849
Fax Number :
Provider Business Practice Location Address
First Line : 2122 KRATKY RD STE 100
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-1706
Country : US
Telephone Number : 314-825-4450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2024
Last Update Date : 08/15/2024

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Directions to “ BRITNI GRAY ” Practice Location

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