Individual
MRS. KRISTIE LYNN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
205 STATE HIGHWAY P, POTOSI, MO 63664-8486
(573) 760-6206
(573) 438-6656
Mailing address
PO BOX 128, 14363 HWY 21 S, POTOSI, MO 63664-0128
(573) 756-7859
(573) 438-6656
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002581
MO
101YP2500X
Professional Counselor
19224
TX
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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