Victoria Johnson Gray, LCSW | |
1350 Us Highway 62 W, Princeton, KY 42445-6106 | |
(270) 365-2008 | |
(270) 365-2009 |
Full Name | Victoria Johnson Gray |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1350 Us Highway 62 W, Princeton, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588122634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 256117 (Kentucky) | Primary |
Entity Name | Kentucky Counseling Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20181115002000 |
Mailing Address | Practice Location Address |
---|---|
Victoria Johnson Gray, LCSW 1104 Holly Ln, Princeton, KY 42445-2327 Ph: (260) 963-1805 | Victoria Johnson Gray, LCSW 1350 Us Highway 62 W, Princeton, KY 42445-6106 Ph: (270) 365-2008 |
William Christopher Ardrey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 | |
Sonja Lee Ramey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 | |
Breanne Nicolle Rogers, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 | |
Shandi Lynne Damron, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 Fax: 270-365-2009 |