Individual provider · Type 1 NPI

Lynjaven J. Gray

Counselor · Hattiesburg, MS

NPI number 1720635964 Active

Practice location

11 Woodstone Plz
Hattiesburg, MS 39402-8342

Fax (769) 390-7097

Mailing address

860 E River Pl Ste 100
Jackson, MS 39202-3442

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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.

8 other providers at this address

Other counselor providers in Hattiesburg

See all in Hattiesburg →

About NPI 1720635964

Lynjaven J. Gray's National Provider Identifier is 1720635964, issued on Aug 22, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 22, 2019.