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NPI Code Detail

MEDICARE: MRS. CARLA H GRAY L.P.C.

MEDICARE:  MRS. CARLA H GRAY  L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6468NC

General Provider Information

NPI Number : 1184755175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARLA H GRAY L.P.C.
Provider Business Mailing Address
First Line : 91 AUDRIA DR
Second Line :
City : CANDLER
State : NC
Zip : 28715-9043
Country : US
Telephone Number : 828-337-3089
Fax Number : 828-225-4822
Provider Business Practice Location Address
First Line : 1340 PATTON AVE STE H
Second Line :
City : ASHEVILLE
State : NC
Zip : 28806-2623
Country : US
Telephone Number : 828-225-4980
Fax Number : 828-225-4822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CARLA H GRAY L.P.C.” Practice Location

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