Individual
AMBER GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282
(318) 574-1232
(318) 574-8646
Mailing address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
(318) 574-8646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6845
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
05/12/2016
Last updated
07/27/2021
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