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MS. JACILYN NICOLE GRAY ACMHC NPI 1104463520


NPI Information

NPI: 1104463520
Provider Name: MS. JACILYN NICOLE GRAY, ACMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3280 W 3500 S STE E
WEST VALLEY, UT
ZIP 84119
Phone: (801) 979-1351
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MS. Jacilyn Nicole Gray, ACMHC is a mental health counselor in West Valley, UT. MS. Jacilyn Nicole Gray, ACMHC NPI is 1104463520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3280 W 3500 S STE E
WEST VALLEY, UT
ZIP 84119-668
Phone: (801) 979-1351

The enumeration date for this NPI number is 12/4/2019 and was last updated on 12/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health11558782-6009UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.