Individual
KAMILLAH DEVONNE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 DOLLEY MADISON BLVD STE 2D, MC LEAN, VA 22101-3937
(571) 200-5518
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0701013055
—
Other
Enumeration date
01/10/2023
Last updated
02/07/2024
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