Mr Roger D Gray, LADC | |
605 E 12th St, Ada, OK 74820-6605 | |
(580) 436-3504 | |
(580) 436-5047 |
Full Name | Mr Roger D Gray |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 605 E 12th St, Ada, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194972455 | NPI | - | NPPES |
100633110C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 112 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Roger D Gray, LADC Po Box 2274, Ada, OK 74821-2274 Ph: (580) 436-3504 | Mr Roger D Gray, LADC 605 E 12th St, Ada, OK 74820-6605 Ph: (580) 436-3504 |
Sharell Clydean Caton, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10725 County Road 3590, Ada, OK 74820 Phone: 580-665-0211 | |
Jana Jean Webb, LPC Counselor Medicare: Medicare Enrolled Practice Location: 16050 County Road 1565, Ada, OK 74820 Phone: 405-476-1287 Fax: 580-436-9146 | |
Ms. Paula Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 E 15th Street, Ada, OK 74820 Phone: 580-272-5170 | |
Lonnie Roy Manuel, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Hoppe Blvd, Suite 6, Strong Family Development, Outpatient Services-ada, Ada, OK 74820 Phone: 580-436-1222 Fax: 580-436-1333 | |
Ms. Sydney Caitlin Manning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 329 W 1st St, Ada, OK 74820 Phone: 580-320-5902 | |
Brittany Austin Akerman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 W 18th St, Ada, OK 74820 Phone: 580-436-6130 | |
Jessica Lea Shores, M.S.W Counselor Medicare: Medicare Enrolled Practice Location: 111 E 12th St, Ada, OK 74820 Phone: 580-436-2690 |