IndividualActive
Dennis Gray, CADC
NPI 1356100226 · Addiction (Substance Use Disorder) Counselor · Lewiston, ID
Provider details
- NPI number
- 1356100226
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC
- Sex
- Male
- Sole proprietor
- No
- License
- 11505 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1020 Main St
Lewiston, ID 83501-1842
Phone: (208) 750-1000
Approximate (ZIP-level) locationGet directions
Mailing address
1020 Main St
Lewiston, ID 83501-1842
Additional practice locations (1)
- 155 Main StreetOrofino, ID 83544Phone: (208) 476-4440Fax: (208) 476-4441
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-03-14
- Certified
- 2024-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.