person
Sammy G Gray, LADC
Addiction (Substance Use Disorder) Counselor in Tishomingo, Oklahoma
NPI 1053641159

Sammy G Gray is an Addiction (Substance Use Disorder) Counselor based in Tishomingo, OK and is specialized in Addiction (Substance Use Disorder). Sammy G Gray practices in Tishomingo, OK and has the professional credentials of LADC. The NPI Number for Sammy G Gray is 1053641159 and holds a License No. (Oklahoma).

The current practice location address for Sammy G Gray is 4900 W Acorn Rd, Tishomingo, OK and can be reached out via phone at 580-220-5850.

Location: 4900 W Acorn Rd, Tishomingo, OK, 73460-4801
person
Provider Profile Details
NPI Number
1053641159
Provider Name
Sammy G Gray
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
4900 W Acorn Rd, Tishomingo, OK, 73460-4801
Phone Number
580-220-5850
Fax Number
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4900 W Acorn Rd
City
State
Zip
73460-4801
Phone Number
580-220-5850
Fax Number
person
Provider Business Mailing Address Details
Address
4900 W Acorn Rd
City
State
Zip
73460-4801
Phone Number
580-220-5850
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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