NPI Code Details Logo

NPI 1316852445

NPI 1316852445 : REZANA KATRICE MCCRAY PPS : SAN JACINTO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316852445
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    REZANA KATRICE MCCRAY PPS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/14/2026
-----------------------------------------------------
    Last Update Date     |    08/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    425 N LYON AVE 
-----------------------------------------------------
    City                 |    SAN JACINTO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92582-3000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-654-9361
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    425 N LYON AVE 
-----------------------------------------------------
    City                 |    SAN JACINTO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92582-3000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-654-9361
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YS0200X
-----------------------------------------------------
    Taxonomy Name        |    School Counselor
-----------------------------------------------------
    License Number       |    250056494
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.