Gray, Shannon

Gray, Shannon is an individual health care provider with primary practice located at 12890 Quinta Way , Desert Hot Springs CA 92240-4852. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gray, Shannon can be contacted via phone (760) 329-2959.

Contact Information

Primary practice address
12890 Quinta Way Desert Hot Springs CA 92240-4852
Phone: (760) 329-2959
Fax: (760) 329-2953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R38901214 California

Profile Details

NPI number 1538533419
LBN Legal business name Gray, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2015
Last updated Nov 16th, 2015 - about 9 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.

Request for update

Popular Providers