| Noelle Gray, Lcsw | |
|
1404 W State Rd Pleasant Grove UT 84062-5019 | |
| (385) 265-2676 | |
| Not Available |
| Full Name | Noelle Gray, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1404 W State Rd, Pleasant Grove, Utah |
| Authorized Official Name and Position | Noelle Gray (OWNER/MANAGER) |
| Authorized Official Contact | 8019157736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noelle Gray, Lcsw 1404 W State Rd Ste 6 Pleasant Grove UT 84062-5019 Ph: (385) 265-2676 | Noelle Gray, Lcsw 1404 W State Rd Pleasant Grove UT 84062-5019 Ph: (385) 265-2676 |
| NPI Number | 1972206191 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972206191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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