Individual
BEVERLEY DIANE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5509 W FRIENDLY AVE STE B, GREENSBORO, NC 27410-4211
(336) 617-3152
Mailing address
801 COLLINGTON DR, MEBANE, NC 27302-8683
(919) 599-7751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13734
NC
101YM0800X
Mental Health Counselor
A13734
NC
Other
Enumeration date
04/06/2018
Last updated
03/01/2022
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