Individual
MELISSA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 ROBINHOOD CIR, LAFAYETTE, LA 70508-4033
(337) 501-1082
Mailing address
413 ROBINHOOD CIR, LAFAYETTE, LA 70508-4033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3712
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3712
PRIVATE
LA
Enumeration date
08/15/2022
Last updated
08/15/2022
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