person
Itha Joyce Gray, ICADC
Addiction (Substance Use Disorder) Counselor in Holdenville, Oklahoma
NPI 1043420227

Itha Joyce Gray is an Addiction (Substance Use Disorder) Counselor based in Holdenville, OK and is specialized in Addiction (Substance Use Disorder). Itha Joyce Gray practices in Holdenville, OK and has the professional credentials of ICADC. The NPI Number for Itha Joyce Gray is 1043420227 and holds a License No. 252 (Oklahoma).

The current practice location address for Itha Joyce Gray is 118 E Main St, Holdenville, OK and can be reached out via phone at 405-379-5256.

Location: 118 E Main St, Holdenville, OK, 74848-9537
person
Provider Profile Details
NPI Number
1043420227
Provider Name
Itha Joyce Gray
Credential
ICADC
Provider Entity Type
Individual
Gender
Female
Address
118 E Main St, Holdenville, OK, 74848-9537
Phone Number
405-379-5256
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
118 E Main St
City
State
Zip
74848-3208
Phone Number
405-379-5256
Fax Number
person
Provider Business Mailing Address Details
Address
118 E Main St
City
State
Zip
74848-3208
Phone Number
405-379-5256
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
252 (Oklahoma)
Definition
Definition to come...
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