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NPI Code Detail

MEDICARE: REBECCA RAY LMFT ASSOCIATE

MEDICARE: REBECCA RAY LMFT ASSOCIATE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist203666TX

General Provider Information

NPI Number : 1598395576
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA RAY LMFT ASSOCIATE
Provider Business Mailing Address
First Line : 12238 QUEENSTON BLVD STE F
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5351
Country : US
Telephone Number : 281-766-3376
Fax Number : 832-336-3891
Provider Business Practice Location Address
First Line : 12238 QUEENSTON BLVD STE F
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5351
Country : US
Telephone Number : 281-766-3376
Fax Number : 832-336-3891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2020
Last Update Date : 03/03/2023

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