Individual
DR. GENEVA MARIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC, CPCS
Contact information
Practice address
2330 SCENIC HWY S, SUITE 115, SNELLVILLE, GA 30078-3115
(770) 559-9919
(404) 891-5095
Mailing address
2330 SCENIC HWY S, SUITE 115, SNELLVILLE, GA 30078-3115
(770) 559-9919
(404) 891-5095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0004236
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
922721756B
—
GA
Enumeration date
10/15/2008
Last updated
08/28/2012
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