| Mr James William Gray Iii, LMSW | |
|
621 Main St, Ste. G, Lewiston, ID 83501-1871 | |
| (208) 750-3000 | |
| (208) 750-1244 |
| Full Name | Mr James William Gray Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 621 Main St, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649567959 | NPI | - | NPPES |
| 806162000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMSW-31312 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James William Gray Iii, LMSW 621 Main St, Ste. G, Lewiston, ID 83501-1871 Ph: (208) 750-3000 | Mr James William Gray Iii, LMSW 621 Main St, Ste. G, Lewiston, ID 83501-1871 Ph: (208) 750-3000 |
Melinda Ellen Cook, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Miller St, Lewiston, ID 83501 Phone: 208-750-1802 Fax: 208-750-1803 | |
Mr. Anthony Brian Tenny, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-816-0015 | |
Mr. Larry Bearden, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-799-6500 Fax: 208-799-6504 | |
Beverly Lynn Fowler, LPC, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1020 Main Street, Lewiston, ID 83501 Phone: 208-750-1000 Fax: 208-750-1000 | |
Sara Light Bennett, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 Fax: 208-746-2294 | |
Ms. Sandra D. Godfrey, MA, LCPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 0309 2nd St, Lewiston, ID 83501 Phone: 208-746-0137 Fax: 298-746-8685 | |
Crystal Ann Nystrom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2335 Main St, Lewiston, ID 83501 Phone: 208-791-0129 Fax: 208-743-1170 |