Individual provider · Type 1 NPI

Mitchell G. Grayson, LCDC

Addiction (Substance Use Disorder) Counselor · Longview, TX

NPI number 1194080515 Active

Practice location

950 N 4th St
Longview, TX 75601-5436

Call (903) 758-0596 Map

Fax (903) 234-1639

Mailing address

PO Box 6800
Longview, TX 75608-6800

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11574 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

23 other providers at this address

Other addiction (substance use disorder) counselor providers in Longview

See all in Longview →

About NPI 1194080515

Mitchell G. Grayson, LCDC's National Provider Identifier is 1194080515, issued on Jul 11, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, TX. The record was last updated on Jul 11, 2012.