Grayson, Mitchell G

Grayson, Mitchell G is an individual health care provider with primary practice located at 950 N 4Th St , Longview TX 75601-5436. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Grayson, Mitchell G can be contacted via phone (903) 758-0596.

Contact Information

Primary practice address
950 N 4Th St Longview TX 75601-5436
Phone: (903) 758-0596
Fax: (903) 234-1639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11574 Texas

Profile Details

NPI number 1194080515
LBN Legal business name Grayson, Mitchell G
Credentials LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Jul 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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