| Melissa A Gray Ma Ncc Ps | |
|
325 S University Rd Ste 202 Spokane Valley WA 99206-6164 | |
| (509) 385-0291 | |
| Not Available |
| Full Name | Melissa A Gray Ma Ncc Ps |
|---|---|
| Speciality | Counselor |
| Location | 325 S University Rd Ste 202, Spokane Valley, Washington |
| Authorized Official Name and Position | Melissa Gray (OWNER) |
| Authorized Official Contact | 5093850291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa A Gray Ma Ncc Ps 325 S University Rd Ste 202 Spokane Valley WA 99206-6164 Ph: () - | Melissa A Gray Ma Ncc Ps 325 S University Rd Ste 202 Spokane Valley WA 99206-6164 Ph: (509) 385-0291 |
| NPI Number | 1639693401 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 5294173829 |
|---|---|
| Medicare Enrollment ID | O20240402002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639693401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melissa Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881915783 PECOS PAC ID: 6103264734 Enrollment ID: I20240522001480 |
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