Lynjaven J Gray Valid NPI
Individual provider · Counselor · Hattiesburg, MS
- NPI
- 1720635964
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-08-22
- Last updated
- 2019-08-22
Practice location
11 Woodstone Plz
Hattiesburg, MS 39402-8342
(769) 390-7234