| Organization Name: | PSYCHOLOGICAL COUNSELING THERAPIES,PLLC |
| NPI Number: | 1043684699 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL A GRAY (PSYCHOLOGIST) |
| Mailing Address: | 1516 Winchester Ave Martinsburg |
| State: | WV US |
| Postal Code: | 254055025 |
| Phone Number: | 3043508380 |
| Fax Number: | 3043508623 |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | WV1107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |