Individual
LESLIE ANNE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LCMHC
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(828) 464-1172
(828) 464-1175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21243
NC
101YM0800X
Mental Health Counselor
11352
NC
Other
Enumeration date
07/23/2014
Last updated
11/21/2022
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