Search › Illinois › 101YP2500X
David Gray, LCPC
NPI 1649636077 · on the registry since 2016 · sole proprietor
Practice
- Address
- 20854 W Genoa Ave
Lake Villa, IL 60046 - Phone
- (440) 714-8822
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois