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Organization

GRAY MATTERS COUNSELING AND CONSULTING ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSAUNDRA GRAY (CEO)
(770) 899-6462
Entity
Organization

Contact information

Practice address
1341 CLEVELAND AVE, EAST POINT, GA 30344-3425
(770) 899-6462
Mailing address
3645 MARKETPLACE BLVD STE 130-129, EAST POINT, GA 30344-5747

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
007492
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
007492
GA
101YM0800X
Mental Health Counselor
007492
GA
101YP2500X
Professional Counselor
Primary
007492
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003150248A
GA
Enumeration date
07/12/2017
Last updated
07/12/2017
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