Heather Gray Professional Counseling Llc | |
45739 Holmes Dr Canton MI 48187-1616 | |
(734) 926-5610 | |
Not Available |
Full Name | Heather Gray Professional Counseling Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 45739 Holmes Dr, Canton, Michigan |
Authorized Official Name and Position | Heather Gray (MANAGER) |
Authorized Official Contact | 7345581958 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Heather Gray Professional Counseling Llc 45739 Holmes Dr Canton MI 48187-1616 Ph: (734) 558-1958 | Heather Gray Professional Counseling Llc 45739 Holmes Dr Canton MI 48187-1616 Ph: (734) 926-5610 |
NPI Number | 1467002147 |
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Provider Enumeration Date | 09/16/2019 |
Last Update Date | 09/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467002147 | NPI | - | NPPES |
1891063269 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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