Provider Demographics
NPI:1013151596
Name:DICKINSON GRAY, KATHRYN L (LPC, LMFT-A)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:L
Last Name:DICKINSON GRAY
Suffix:
Gender:F
Credentials:LPC, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3706 MAPLE PARK CT
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2616
Mailing Address - Country:US
Mailing Address - Phone:281-223-3421
Mailing Address - Fax:281-358-5890
Practice Address - Street 1:3706 MAPLE PARK CT
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2616
Practice Address - Country:US
Practice Address - Phone:281-223-3421
Practice Address - Fax:281-358-5890
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70550101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health