Individual
ROGER C GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, MAC, CCS, ADCII
Contact information
Practice address
21 WESTMINSTER PL, BEAUFORT, SC 29907-1967
(843) 252-2164
(843) 525-0082
Mailing address
21 WESTMINISTER PL, BEAUFORT, SC 29907-1967
(843) 252-2164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1906264
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
96
SC
Other
Enumeration date
06/08/2009
Last updated
01/08/2020
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