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General NPI Number Information
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NPI Number | 1437569100
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Entity Type | Individual
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Provider Name | CLINTON BOYD MCRAY LMHC, LPC, MCAP, MA
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Gender | Male
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1110 SE ALDER ST STE 301
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City | PORTLAND
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State | OR
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Zip | 97214-2400
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Country | US
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Telephone | 904-520-3312
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Fax |
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Provider Business Mailing Address
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Address Line | 930 NW 12TH AVE APT 312
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City | PORTLAND
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State | OR
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Zip | 97209-3069
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Country | US
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Telephone | 904-520-3312
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5996
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH12211
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License Number State | FL
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