SAMMY GRAY, LADC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1053641159
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1053641159 is the National Provider Identifier for SAMMY GRAY, LADC, a Counselor - Addiction (Substance Use Disorder) provider located in Tishomingo, OK. This NPI was enumerated on January 12, 2010.
SAMMY GRAY, LADC practices at 4900 W ACORN RD, Tishomingo, OK 73460.
Quick Facts
- NPI
- 1053641159
- Type
- Individual
- Enumerated
- Jan 12, 2010
- Last Updated
- Jan 12, 2010
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