Individual
SHAVONNE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2741 MONACAN ST APT 302, ALEXANDRIA, VA 22314-5826
(469) 713-4464
Mailing address
1934 OLD GALLOWS RD STE 210, VIENNA, VA 22182-4043
(571) 347-3607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012150
VA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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