Individual
THOMAS D GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
5100 E HIGHWAY 90 STE B, SIERRA VISTA, AZ 85635-2444
(520) 732-3621
Mailing address
5100 E HIGHWAY 90 STE B, SIERRA VISTA, AZ 85635-2444
(520) 732-3621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21655
AZ
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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