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General NPI Number Information
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NPI Number | 1538739891
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Entity Type | Organization
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Legal Business Name | RAY FAMILY THERAPY, PLLC
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 323 W HOPKINS ST
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City | SAN MARCOS
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State | TX
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Zip | 78666-4403
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Country | US
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Telephone | 281-766-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 323 W HOPKINS ST
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City | SAN MARCOS
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State | TX
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Zip | 78666-4403
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Country | US
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Telephone | 281-766-3376
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | MRS. REBECCA RAY
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Credential | LMFT ASSOCIATE
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Telephone | 281-766-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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