Individual
BRIAN LEE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA MS M DIV RMHCI
Contact information
Practice address
1513 E 9TH ST, LYNN HAVEN, FL 32444-2901
(850) 265-1940
Mailing address
1513 E 9TH ST, LYNN HAVEN, FL 32444-2901
(850) 265-1940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 13230
FL
101YP1600X
Pastoral Counselor
MH 13230
FL
101YP2500X
Professional Counselor
Primary
MH 13230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH 13230
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
08/01/2012
Last updated
03/16/2015
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