Individual
AMANDA P GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS
Contact information
Practice address
1401 SANDIA PLZ, BRYAN, TX 77802-4356
(512) 650-9252
(979) 859-7226
Mailing address
1401 SANDIA PLZ, BRYAN, TX 77802-4356
(512) 650-9252
(979) 859-7226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67715
TSBEC
TX
Enumeration date
10/31/2012
Last updated
09/28/2022
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