Most Relevant Information
Provider Data
| NPI Number: | 1003068529 |
| Provider Name: | GENEVA MARIE GRAY PHD, LPC, NCC, CPCS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 0004236 |
Most Important Dates
| Enumeration Date: | 10/15/2008 |
| Last Updated: | 08/28/2012 |
Provider Practice Location
2330 SCENIC HWY S
SUITE 115
SNELLVILLE
GA
300783115
Practice Location Phone/Fax
| Phone: | 7705599919 |
| Fax: | 4048915095 |
Provider Mailing Location
2330 SCENIC HWY S
SUITE 115
SNELLVILLE
GA
300783115
Provider Mailing Phone/Fax
| Phone: | 7705599919 |
| Fax: | 4048915095 |