Individual
ILA ANN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC II
Contact information
Practice address
2455 SUTHERLAND AVE, KNOXVILLE, TN 37919-2355
(865) 544-5010
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1860
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC.161081-3
OH
Other
Enumeration date
07/26/2017
Last updated
05/07/2026
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