# PSYCHOLOGICAL COUNSELING THERAPIES,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043684699
- **Authorized official:** DR. MICHAEL A GRAY EDD (PSYCHOLOGIST)
- **Authorized official phone:** (304) 676-2808

## Contact information

- **Practice address:** 118 W BURKE ST, MARTINSBURG, WV 25401-3302
- **Practice address phone:** (304) 676-2808
- **Mailing address:** 118 W BURKE ST, MARTINSBURG, WV 25401-3302
- **Mailing address phone:** (304) 676-2808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | WV1107 | WV | Yes |

## Other

- **Enumeration date:** 11/19/2015
- **Last updated:** 04/25/2022