Individual
KIMBERLY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CAMBRIDGE AVE E, GREENWOOD, SC 29646-2221
(864) 223-2243
(864) 223-3044
Mailing address
101 CAMBRIDGE AVE E, GREENWOOD, SC 29646-2221
(864) 223-2243
(864) 223-3044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
04/20/2016
Last updated
06/05/2024
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