Individual
MR. MARIO GRAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
101 E MEMORIAL DR STE B, HINESVILLE, GA 31313-2728
(912) 876-4010
(912) 369-2262
Mailing address
PO BOX 15444, SAVANNAH, GA 31416-2144
(912) 704-9026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010137
GA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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