| Doctor Name: | EMILY GRAY |
| NPI Number: | 1154707115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCA |
| License Number: | A11627 |
| Business Practice Address: | 360 Beech St Newland, NC - 286579670 |
| Business Phone Number: | 8287335889 |
| Business Fax Number: | |
| Mailing Address: | 284 Executive Park Dr, Suite 100 CONCORD |
| State: | NC |
| Postal Code: | 28025 |
| Phone Number: | 7049391100 |
| Fax Number: | 7049391173 |
| NPI Enumeration Date: | 07/31/2015 |
| NPI Last Update Date: | 07/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A11627 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |