Individual
MS. ELLA L GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
Mailing address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3884
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72-6011595
—
LA
Enumeration date
06/12/2012
Last updated
06/12/2012
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