Individual
MRS. CHIVON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5100 FLORIDA STREET, 910, BATON ROUGE, LA 70806
(225) 382-2333
Mailing address
9278 REDWOOD LAKE BLVD, ZACHARY, LA 70791-8336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4133
LA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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