Individual provider · Type 1 NPI

Mark Wayne Gray

Peer Specialist · Moncks Corner, SC

NPI number 1730653932 Active

Practice location

306 Airport Dr
Moncks Corner, SC 29461-2629

Call (843) 761-8272 Map

Fax (843) 719-3025

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1730653932

Mark Wayne Gray's National Provider Identifier is 1730653932, issued on Jan 22, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Moncks Corner, SC. The record was last updated on Jan 22, 2019.