SAMUEL LEE GRAY

CONCORD, CA
NPI1508420753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1299260318)
Enumeration Date2019-04-23
Last Update Date2019-04-23
Business Address
SAMUEL LEE GRAY radt
2090 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 925-676-2580
Mailing Address
SAMUEL LEE GRAY radt
2090 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 925-676-2580