Individual
DR. COLLEEN J GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, LPC, CAADC
Contact information
Practice address
1147 RALEIGH WAY, LAWRENCEVILLE, GA 30043-5227
(215) 360-7322
Mailing address
1147 RALEIGH WAY, LAWRENCEVILLE, GA 30043-5227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009664
GA
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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