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NPI Code Detail

MEDICARE: SHELBY ROSEMOND-GRAY

MEDICARE:   SHELBY  ROSEMOND-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
1101Y00000XCounselorLPC-24467AZ

General Provider Information

NPI Number : 1508619354
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY ROSEMOND-GRAY
Provider Business Mailing Address
First Line : 2087 E LIBRA PL
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-5205
Country : US
Telephone Number : 480-648-1778
Fax Number :
Provider Business Practice Location Address
First Line : 2087 E LIBRA PL
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-5205
Country : US
Telephone Number : 480-648-1778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2024
Last Update Date : 12/11/2025

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Directions to “ SHELBY ROSEMOND-GRAY ” Practice Location

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