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Organization
PSYCHOLOGICAL COUNSELING THERAPIES,PLLC
Active
Organization
PSYCHOLOGICAL COUNSELING THERAPIES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A GRAY EDD (PSYCHOLOGIST)
(304) 676-2808
Entity
Organization
Contact information
Practice address
118 W BURKE ST, MARTINSBURG, WV 25401-3302
(304) 676-2808
Mailing address
118 W BURKE ST, MARTINSBURG, WV 25401-3302
(304) 676-2808
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
WV1107
WV
Other
Enumeration date
11/19/2015
Last updated
04/25/2022
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