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Courtney Demetri Grey
Counselor in Carbondale, Illinois
NPI 1609527373

Courtney Demetri Grey is a Counselor based in West Frankfort, IL. Courtney Demetri Grey practices in Carbondale, IL. The NPI Number for Courtney Demetri Grey is 1609527373 and holds a License No. (Illinois).

The current practice location address for Courtney Demetri Grey is 2411 S Illinois Ave, Carbondale, IL and can be reached out via phone at 618-457-6703 and via fax at 618-549-3734.

Location: 2411 S Illinois Ave, Carbondale, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609527373
Provider Name
Courtney Demetri Grey
Credential
Provider Entity Type
Individual
Gender
Male
Address
2411 S Illinois Ave, Carbondale, IL, 62896-2210
Phone Number
618-457-6703
Fax Number
618-549-3734
Provider Enumeration Date
01/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2411 S Illinois Ave
City
Carbondale
State
Illinois
Zip
62903-5913
Phone Number
618-457-6703
Fax Number
618-549-3734
person
Provider Business Mailing Address Details
Address
2411 S Illinois Ave
City
Carbondale
State
Illinois
Zip
62903-5913
Phone Number
618-457-6703
Fax Number
618-549-3734
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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