| Jarrod L. Gray, Lpc, Pc | |
|
824 Gum Branch Rd Suite B Jacksonville NC 28540-6269 | |
| (910) 381-0347 | |
| (910) 355-2427 |
| Full Name | Jarrod L. Gray, Lpc, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 824 Gum Branch Rd, Jacksonville, North Carolina |
| Authorized Official Name and Position | Jarrod Lawrence Gray (LICENSED PROFESSIONAL COUNSELOR CEO) |
| Authorized Official Contact | 9103810347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jarrod L. Gray, Lpc, Pc 7736 Marymount Dr Wilmington NC 28411-8701 Ph: (910) 381-0347 | Jarrod L. Gray, Lpc, Pc 824 Gum Branch Rd Suite B Jacksonville NC 28540-6269 Ph: (910) 381-0347 |
| NPI Number | 1417071523 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417071523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4576 (North Carolina) | Primary |
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