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Organization
INTO THE GRAY COUNSELING AND CONSULTING LLC
Active
Organization
INTO THE GRAY COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOMO EKWENZI GRAY PH.D. (CO-OWNER)
(240) 621-0215
Entity
Organization
Contact information
Practice address
2139 ESPEY COURT, SUITE 2, CROFTON, MD 21114
(202) 810-4148
Mailing address
12138 CENTRAL AVE STE 176, MITCHELLVILLE, MD 20721-1910
(202) 810-4148
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043751217
NPPES
—
Enumeration date
04/03/2021
Last updated
08/17/2022
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