Provider Demographics
NPI:1427339894
Name:GRAY, RHIANNON M (MA MED LPCA)
Entity type:Individual
Prefix:
First Name:RHIANNON
Middle Name:M
Last Name:GRAY
Suffix:
Gender:F
Credentials:MA MED LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1429
Mailing Address - Street 2:
Mailing Address - City:MT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-1429
Mailing Address - Country:US
Mailing Address - Phone:800-456-1386
Mailing Address - Fax:502-538-1100
Practice Address - Street 1:2720 FREDERICA ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-5442
Practice Address - Country:US
Practice Address - Phone:270-926-2484
Practice Address - Fax:270-685-6015
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2015-12-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health