Individual
COZY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, NCC
Contact information
Practice address
604 HIGHWAY 80 W, CLINTON, MS 39056-4108
(601) 473-2106
Mailing address
604 HIGHWAY 80 W, CLINTON, MS 39056-4108
(601) 473-2106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MS
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
09/05/2022
Last updated
03/20/2023
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