Provider Demographics
NPI:1477438471
Name:GRAY, JOSIECA (PPS SCHOOL COUNSELIN)
Entity type:Individual
Prefix:
First Name:JOSIECA
Middle Name:
Last Name:GRAY
Suffix:
Gender:F
Credentials:PPS SCHOOL COUNSELIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 OTTERBEIN AVE
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3949
Mailing Address - Country:US
Mailing Address - Phone:626-965-3448
Mailing Address - Fax:
Practice Address - Street 1:2000 OTTERBEIN AVE
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3949
Practice Address - Country:US
Practice Address - Phone:626-965-3448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240317666101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool