MR. Roger D. Gray, LADC

NPI #1194972455 in Ada, Oklahoma

Provider Information

NPI Number
1194972455
Entity Type
Individual
Name
MR. Roger D. Gray, LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Aug 19, 2008
Last Updated
Aug 19, 2008

Practice Location

Address
605 E 12TH ST
City
Ada
ZIP Code
74820-6605
Phone
(580) 436-3504

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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