Provider Demographics
NPI:1407331168
Name:GRAY, ERIK (MS)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:GRAY
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 ALSUN DR
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NH
Mailing Address - Zip Code:03049-6211
Mailing Address - Country:US
Mailing Address - Phone:802-558-4316
Mailing Address - Fax:
Practice Address - Street 1:38 ALSUN DR
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NH
Practice Address - Zip Code:03049-6211
Practice Address - Country:US
Practice Address - Phone:028-558-4316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH275101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health