Shanderico Gray
Shanderico Gray is a Mental Health Counselor in Crestview, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
2802 Titleist LnCrestview, FL 32539-8335
Phone: (256) 365-6073
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PMH1761 (FL) |
|---|
Record details
| NPI number | 1689240707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2021 |
| Last updated in NPPES | May 29, 2021 |
| Certification date | May 29, 2021 |
| Mailing address | 2802 Titleist Ln, Crestview, FL 32539-8335 |
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