Individual
JAMIE MICHELLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
60 HIGHWAY 22 WEST, BLANDY WAY OFFICE PARK, MILLEDGEVILLE, GA 31061-6606
(478) 451-2704
(478) 445-1296
Mailing address
60 HIGHWAY 22 WEST, BLANDY WAY OFFICE PARK, MILLEDGEVILLE, GA 31061-6606
(478) 451-2704
(478) 445-1296
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001182
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001182
LMFT
GA
Enumeration date
08/04/2011
Last updated
08/04/2011
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