Individual
MS. LEANORA T GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC, NCC
Contact information
Practice address
20411 W. TWELVE MILD RD., ST. #104, SOUTHFIELD, MI 48076-5414
(248) 617-7545
(248) 856-3801
Mailing address
25400 EDGEMONT DR, SOUTHFIELD, MI 48033-2219
(313) 505-6364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022356
MI
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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