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Individual

HEITH GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183912
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
QMHS
OH

Other

Enumeration date
03/02/2023
Last updated
04/10/2023
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