Individual
DONNA GRAY-VAN BUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 NORTH BROOME STREET, SUITE 101, WAXHAW, NC 28173
(980) 202-2288
Mailing address
250 N TRADE ST STE 206, MATTHEWS, NC 28105-9433
(980) 202-2288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18173
NC
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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