Provider Demographics
NPI:1740084375
Name:GRAY, GARRETT JAMES (AMFT)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:JAMES
Last Name:GRAY
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2272 RIVER BEND LN
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-5103
Mailing Address - Country:US
Mailing Address - Phone:530-591-3338
Mailing Address - Fax:
Practice Address - Street 1:2272 RIVER BEND LN
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-5103
Practice Address - Country:US
Practice Address - Phone:530-591-3338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA154346106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist