Gray, Brian
Gray, Brian is an sole proprietor health care provider with primary practice located at 1227 E Los Angeles Ave , Simi Valley CA 93065-2871. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gray, Brian can be contacted via phone (805) 582-4080.Contact Information
Primary practice address
1227 E Los Angeles Ave
Simi Valley CA 93065-2871
Phone: (805) 582-4080
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ASW 22061 | |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW29414 | California |
Profile Details
NPI number | 1396936647 |
---|---|
LBN Legal business name | Gray, Brian |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 1st, 2007 |
Last updated | Jun 20th, 2022 - about 2 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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