Individual
MS. HEATHER GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
45739 HOLMES DR, CANTON, MI 48187-1616
(734) 926-5610
Mailing address
45739 HOLMES DR, CANTON, MI 48187-1616
(734) 926-5610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
6401012750
MI
Other
Enumeration date
12/13/2011
Last updated
11/04/2023
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