Doctor Name: | DEBORAH A GRAY |
NPI Number: | 1013121920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 2119 Riverwalk Dr # 218 Moore, OK - 731602700 |
Business Phone Number: | 4057997833 |
Business Fax Number: | |
Mailing Address: | 2119 Riverwalk Dr # 218, MOORE |
State: | OK |
Postal Code: | 731602700 |
Phone Number: | 4058128623 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 10/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |