Doctor Name: | DR. GENEVA MARIE GRAY |
NPI Number: | 1003068529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LPC, NCC, CPCS |
License Number: | 0004236 |
Business Practice Address: | 2330 Scenic Hwy S Suite 115 Snellville, GA - 300783115 |
Business Phone Number: | 7705599919 |
Business Fax Number: | 4048915095 |
Mailing Address: | 2330 Scenic Hwy S, Suite 115 SNELLVILLE |
State: | GA |
Postal Code: | 300783115 |
Phone Number: | 7705599919 |
Fax Number: | 4048915095 |
NPI Enumeration Date: | 10/15/2008 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0004236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |