Gray, Deborah A
Gray, Deborah A is an sole proprietor health care provider with primary practice located at 147 Academy St , Presque Isle ME 04769. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gray, Deborah A can be contacted via phone (207) 764-6825.Contact Information
Primary practice address
147 Academy St
Presque Isle ME 04769
Phone: (207) 764-6825
Fax: (207) 764-6077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LC1689 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CCS2869 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC6879 | Maine |
Profile Details
| NPI number | 1215955307 |
|---|---|
| LBN Legal business name | Gray, Deborah A |
| Credentials | LCSW, LADC, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215955307 | NPPES |
| Maine | MEDICAID | 1215955307 |
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