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General NPI Number Information
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NPI Number | 1710503032
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Entity Type | Organization
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Legal Business Name | RAY & CEE INC
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | HEAVENLY COUNSEL 985 DILLINGHAM BLVD SUITE 100
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City | HONOLULU
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State | HI
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Zip | 96817
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Country | US
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Telephone | 808-834-2823
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Fax | 808-689-7876
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Provider Business Mailing Address
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Address Line | 91-1017 WAIKAI ST
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City | EWA BEACH
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State | HI
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Zip | 96706-6421
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Country | US
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Telephone | 808-392-3605
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Fax | 808-689-7876
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Authorized Official
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Title or Position | PRESIDENT/CEO/COUNSELOR
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Name | MR. RAYMOND BLACK III
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Credential | MA, LMHC,IMFT, CSAC
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Telephone | 808-834-2823
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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