Doctor Name: | MR. CHRISTOPHER EUGENE GRAY |
NPI Number: | 1881816973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EDS,LPC,NBCC |
License Number: | LPC002214 |
Business Practice Address: | 2537 Queens Ct Grovetown, GA - 308134519 |
Business Phone Number: | 7068631088 |
Business Fax Number: | |
Mailing Address: | 2537 Queens Ct, GROVETOWN |
State: | GA |
Postal Code: | 308134519 |
Phone Number: | 7068631088 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC002214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |