Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTY JEAN GRAY, SAC
DeactivatedMISTY JEAN GRAY, SAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in RACINE, Wisconsin. NPI 1578219390 is deactivated in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · RACINE, WI
This NPI has been deactivated.
The record was deactivated on March 21, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1578219390
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Mar 2, 2022 (2.0520547945205 yrs)
- Last Updated
- Aug 1, 2024
- Deactivated
- Mar 21, 2024
- License
-
17116-131 (WI)
Practice Information
- Address
-
1717 TAYLOR AVERACINE, WI, 534032405Browse WI providers · Browse ZIP 53403
- Phone
- 2626386407
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RACINE, WI
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY H SCHULZ | LPC, CSAC, ICS | 1235246521 |
| MS. ROXANNE NOELLE LE BEAU | MA, LPC, CADC | 1689768012 |
| MR. CORIE HARGROVE | CADC-III | 1720124019 |
| MS. PAMELA JEAN KOONZ | LCSW CSAC | 1518006667 |
| MS. JEAN MARIE PRUSCHA | CSAC, ICS | 1225168891 |
| REGINA MARLENE HADLEY | CSAC | 1619148970 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.