IndividualActive
Jacilyn Gray, ACMHC
NPI 1104463520 · Mental Health Counselor · West Valley, UT
Provider details
- NPI number
- 1104463520
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- ACMHC
- Sex
- Female
- Sole proprietor
- No
- License
- 11558782-6009 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3280 W 3500 S Ste E
West Valley, UT 84119-2668
Phone: (801) 979-1351
Approximate (ZIP-level) locationGet directions
Mailing address
2466 Green Oaks Dr
Bountiful, UT 84010-3134
Registry dates
- Enumerated
- 2019-12-04
- Last updated
- 2019-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.