person
Mr. Mitchell G Grayson, LCDC
Addiction (Substance Use Disorder) Counselor in Longview, Texas
NPI 1194080515

Mitchell G Grayson is an Addiction (Substance Use Disorder) Counselor based in Longview, TX and is specialized in Addiction (Substance Use Disorder). Mitchell G Grayson practices in Longview, TX and has the professional credentials of LCDC. The NPI Number for Mitchell G Grayson is 1194080515 and holds a License No. 11574 (Texas).

The current practice location address for Mitchell G Grayson is 950 N 4Th St, Longview, TX and can be reached out via phone at 903-758-0596 and via fax at 903-234-1639.

Location: 950 N 4Th St, Longview, TX, 75608-6800
person
Provider Profile Details
NPI Number
1194080515
Provider Name
Mitchell G Grayson
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
950 N 4Th St, Longview, TX, 75608-6800
Phone Number
903-758-0596
Fax Number
903-234-1639
Provider Enumeration Date
07/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
950 N 4Th St
City
State
Zip
75601-5436
Phone Number
903-758-0596
Fax Number
903-234-1639
person
Provider Business Mailing Address Details
Address
950 N 4Th St
City
State
Zip
75601-5436
Phone Number
903-758-0596
Fax Number
903-234-1639
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11574 (Texas)
Definition
Definition to come...
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