Most Relevant Information
Provider Data
| NPI Number: | 1003454224 |
| Provider Name: | CARLTON WAYNE GRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/18/2019 |
| Last Updated: | 12/18/2019 |
Provider Practice Location
3801 CANAL ST STE 325
NEW ORLEANS
LA
701196059
Practice Location Phone/Fax
| Phone: | 5044833558 |
| Fax: | 5045254483 |
Provider Mailing Location
4106 PENSACOLA DR
BATON ROUGE
LA
708147194
Provider Mailing Phone/Fax
| Phone: | 2253055760 |
| Fax: |