Individual
BRYAN KENDELL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3960 BROADWAY BLVD STE 250, GARLAND, TX 75043-8345
(469) 969-0422
Mailing address
4712 RIDGEDALE DR, PLANO, TX 75024-2434
(504) 777-0125
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
92175
TX
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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