Individual
TASHEERA GRAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MAIN ST, COLUMBUS, MS 39701-4751
(662) 328-4735
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700894730
MENTAL HEALTH COUSELOR
MS
Enumeration date
10/14/2024
Last updated
10/14/2024
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