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Individual

JOHN MITCHELL GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC-INTERN, LCDC

Contact information

Practice address
3216 E 1ST ST, FORT WORTH, TX 76111-3831
(682) 583-1058
Mailing address
1317 RIDGEWOOD TER, ARLINGTON, TX 76012-2420
(682) 583-1058

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12809
TX
101Y00000X
Counselor
73548
TX

Other

Enumeration date
03/19/2015
Last updated
03/19/2015
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