ILA GRAY, LCDC III

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1376067926

Practice Address

201 WEST SPRINGDALE AVE.
Knoxville, TN 37917

Phone: (865) 637-9711

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes LCDC.161081-3 (OH)

Frequently Asked Questions

NPI 1376067926 is the National Provider Identifier for ILA GRAY, LCDC III, a Counselor - Addiction (Substance Use Disorder) provider located in Knoxville, TN. This NPI was enumerated on July 26, 2017.
ILA GRAY, LCDC III practices at 201 WEST SPRINGDALE AVE., Knoxville, TN 37917.

Quick Facts

NPI
1376067926
Type
Individual
Enumerated
Jul 26, 2017
Last Updated
Oct 4, 2022

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