| Doctor Name: | LEVEN RANDAL YAMAZAKI-GRAY |
| NPI Number: | 1174764625 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | 203 |
| Business Practice Address: | General Delivery Kaunakakai, HI - 967489999 |
| Business Phone Number: | 8085533870 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1046, KAUNAKAKAI |
| State: | HI |
| Postal Code: | 967481046 |
| Phone Number: | 8085533870 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2009 |
| NPI Last Update Date: | 03/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 203 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |