| James Albert Gray, LADC | |
|
840 E Main St, Perham, MN 56573-1934 | |
| (218) 346-6100 | |
| (218) 346-6112 |
| Full Name | James Albert Gray |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 840 E Main St, Perham, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821354010 | NPI | - | NPPES |
| 43-2066657 | Other | MN | FEIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300475 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James Albert Gray, LADC 840 E Main St, Perham, MN 56573-1934 Ph: (218) 346-6100 | James Albert Gray, LADC 840 E Main St, Perham, MN 56573-1934 Ph: (218) 346-6100 |
Bridgit Pankonin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 2nd Ave Sw, Perham, MN 56573 Phone: 218-422-6131 | |
James Broton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 2nd St Sw, Perham, MN 56573 Phone: 218-422-6131 Fax: 218-346-2060 | |
Elizabeth Niewojna, M.ED., NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 2nd St Sw, Perham, MN 56573 Phone: 218-422-6131 | |
Steven Robert Braukmann, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Main St, Perham, MN 56573 Phone: 218-346-6100 Fax: 218-249-1507 | |
Mr. John J Zajac, LADC, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Main St, Perham, MN 56573 Phone: 218-346-6100 Fax: 218-346-6112 | |
Branden Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 2nd St Sw, Perham, MN 56573 Phone: 218-422-6131 |