ITHA JOYCE GRAY

HOLDENVILLE, OK
NPI1043420227
Professional NameJOYCE GRAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  252)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- ITHA JOYCE GRAY ICADC
118 E MAIN ST
HOLDENVILLE, OK 74848-3208
Phone number: 405-379-5256
Mailing Address
-- ITHA JOYCE GRAY ICADC
204 LAKESIDE DR
HOLDENVILLE, OK 74848-9537
Phone number: