Organization
GRAY SAPPENFIELD MOULTON
Active
Other names
Gray S. Moulton, LMFT, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE ALEXANDER (CREDENTIALING SPECIALIST)
(615) 763-5546
Entity
Organization
Contact information
Practice address
118 S CHERRY ST STE D, KERNERSVILLE, NC 27284-2764
(336) 287-7353
Mailing address
118 S CHERRY ST STE D, KERNERSVILLE, NC 27284-2764
(336) 287-7353
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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