| Therese Gray | |
|
2186 Halsey St Union NJ 07083-5110 | |
| (973) 953-5771 | |
| (908) 686-3859 |
| Full Name | Therese Gray |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2186 Halsey St, Union, New Jersey |
| Authorized Official Name and Position | Therese E Gray (COUNSELOR) |
| Authorized Official Contact | 9739535771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therese Gray 2186 Halsey St Union NJ 07083-5110 Ph: (973) 953-5771 | Therese Gray 2186 Halsey St Union NJ 07083-5110 Ph: (973) 953-5771 |
| NPI Number | 1376889980 |
|---|---|
| Provider Enumeration Date | 12/31/2012 |
| Last Update Date | 12/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376889980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00239500 (New Jersey) | Primary |
| 251S00000X | Community/behavioral Health | 37RC00244100 (New Jersey) | Secondary |
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