Individual
ANTOINETTE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 CARNEGIE AVE, CLEVELAND, OH 44115-2805
(216) 861-4246
(216) 861-1156
Mailing address
1127 CARNEGIE AVE, CLEVELAND, OH 44115
(216) 861-4246
(216) 861-1156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130510
OH
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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