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Individual

MICHAEL GRAY SLATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
701 S MAIN ST, DOBSON, NC 27017-8593
(336) 356-2600
(336) 356-2601
Mailing address
701 S MAIN ST, DOBSON, NC 27017-8593
(336) 356-2600
(336) 356-2601

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11868
NC
101YP2500X
Professional Counselor
Primary
11868
NC

Other

Enumeration date
07/29/2019
Last updated
05/21/2020
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