Gray, Ayanna

Gray, Ayanna is an individual health care provider with primary practice located at 544 S Main St Unit B , Fort Bragg CA 95437-5107. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gray, Ayanna can be contacted via phone (707) 961-0308.

Contact Information

Primary practice address
544 S Main St Unit B Fort Bragg CA 95437-5107
Phone: (707) 961-0308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1972152304
LBN Legal business name Gray, Ayanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2019
Last updated Sep 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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