Individual provider · Type 1 NPI
Itha Joyce Gray, ICADC
Addiction (Substance Use Disorder) Counselor · Holdenville, OK
NPI number
1043420227
Active
Practice location
118 E Main St
Holdenville, OK 74848-3208
Mailing address
204 Lakeside Dr
Holdenville, OK 74848-9537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 252 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
6 other providers at this address
- Oklahoma Families First IncMental Health Clinic/Center (Including Community Mental Health Center) Holdenville, OK NPI 1235217217
- Ashleigh Louise HaltermanCase Manager/Care Coordinator Holdenville, OK NPI 1619444775
- Jacqueline Renee Clark, BA, HRCCounselor Holdenville, OK NPI 1548452956
- Jennifer RussellPeer Specialist Holdenville, OK NPI 1356061469
- Jerry Conley IiPeer Specialist Holdenville, OK NPI 1114761780
- Shelley ByrdPeer Specialist Holdenville, OK NPI 1306314133
Other addiction (substance use disorder) counselor providers in Holdenville
About NPI 1043420227
Itha Joyce Gray, ICADC's National Provider Identifier is 1043420227, issued on May 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Holdenville, OK. The record was last updated on Jul 8, 2007.