Individual provider · Type 1 NPI
Irving O. Grayson Jr.
Mental Health Counselor · Fayette, MS
NPI number
1568089274
Active
Practice location
1555 N. Main St.
Fayette, MS 39069
Fax (601) 786-8023
Mailing address
805 N Beech Street Suite 2
Tallulah, LA 71282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1568089274
Irving O. Grayson Jr.'s National Provider Identifier is 1568089274, issued on Jun 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayette, MS. The record was last updated on May 14, 2024.