Individual
ASHA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1727 KING ST, ALEXANDRIA, VA 22314-2700
(202) 830-3249
Mailing address
7982 HIDDEN BRIDGE DR, SPRINGFIELD, VA 22153-3206
(773) 531-8390
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008042
VA
101YP2500X
Professional Counselor
PRC14418
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR81-0000
CAREFIRST
—
Enumeration date
02/10/2014
Last updated
01/29/2019
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