Most Relevant Information
Provider Data
| NPI Number: | 1003249376 |
| Provider Name: | JORDAN C. GRAY LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 106723 |
Most Important Dates
| Enumeration Date: | 08/09/2013 |
| Last Updated: | 02/21/2023 |
Provider Practice Location
1127 GRAND CANAL
IRVINE
CA
926201897
Practice Location Phone/Fax
| Phone: | 3303492620 |
| Fax: |
Provider Mailing Location
340 EAST FIRST STREET
P.O. BOX #1790
TUSTIN
CA
92781
Provider Mailing Phone/Fax
| Phone: | 5109788235 |
| Fax: |