Individual
SHIRLEY CHESS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 STUMPF BLVD STE 2, TERRYTOWN, LA 70056-3950
(504) 367-4234
(504) 367-4237
Mailing address
301 TRAVIS DR, AVONDALE, LA 70094-2549
(504) 442-1750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1321
LA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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