Individual provider · Type 1 NPI
Roger C. Gray, LAC, MAC, CCS, ADCII
Addiction (Substance Use Disorder) Counselor · Beaufort, SC
NPI number
1427284124
Active
Practice location
21 Westminster Pl
Beaufort, SC 29907-1967
Fax (843) 525-0082
Mailing address
21 Westminister Pl
Beaufort, SC 29907-1967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1906264 (SC) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 96 (SC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1427284124
Roger C. Gray, LAC, MAC, CCS, ADCII's National Provider Identifier is 1427284124, issued on Jun 8, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaufort, SC. The record was last updated on Jan 8, 2020.