Individual provider · Type 1 NPI
Leanora T. Gray, LLC, NCC
Mental Health Counselor · Southfield, MI
NPI number
1093440091
Active
Practice location
20411 W. Twelve Mild Rd., St. #104
Southfield, MI 48076-5414
Fax (248) 856-3801
Mailing address
25400 Edgemont Dr
Southfield, MI 48033-2219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6451022356 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1093440091
Leanora T. Gray, LLC, NCC's National Provider Identifier is 1093440091, issued on Jul 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southfield, MI. The record was last updated on Jul 22, 2022.