Individual provider · Type 1 NPI

John Mitchell Gray, LPC-INTERN, LCDC

Counselor · Fort Worth, TX

NPI number 1346634086 Active

Practice location

3216 E 1st St
Fort Worth, TX 76111-3831

Mailing address

1317 Ridgewood Ter
Arlington, TX 76012-2420

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X73548 (TX)
Counselor Primary 101Y00000X12809 (TX)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1346634086

John Mitchell Gray, LPC-INTERN, LCDC's National Provider Identifier is 1346634086, issued on Mar 19, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 19, 2015.