Sammy G Gray, LADC
NPI #1053641159 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1053641159
- Entity Type
- Individual
- Name
- Sammy G Gray, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Jan 12, 2010
- Last Updated
- Jan 12, 2010
Practice Location
- Address
- 4900 W ACORN RD
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-4801
- Phone
- (580) 220-5850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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