Gray, Therese Emelda

Gray, Therese Emelda is an sole proprietor health care provider with primary practice located at 2143 Morris Ave Suite 4A, Union NJ 07083-6036. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gray, Therese Emelda can be contacted via phone (973) 953-5771.

Contact Information

Primary practice address
2143 Morris Ave Suite 4A Union NJ 07083-6036
Phone: (973) 953-5771
Fax: (908) 810-0118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37RC002441000 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00239500 New Jersey

Profile Details

NPI number 1205992039
LBN Legal business name Gray, Therese Emelda
Credentials LPC, LRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 18 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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