| NPI | 1144885278 |
|---|---|
| Doing Business As | GRAY S. MOULTON, LMFT, PLLC |
| Entity Type | Organization |
| Authorized Contact | LESLIE ALEXANDER Credentialing Specialist 615-763-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |