Individual
MRS. TONYA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CAC-II
Contact information
Practice address
575 S. MAIN STREET, SUITE 6, PLYMOUTH, MI 48170
(734) 451-7800
(734) 451-5410
Mailing address
1345 CARTWRIGHT LANE, SOUTH LYON, MI 48178
(734) 451-7800
(734) 451-5410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6802066320
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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