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Individual
TERESA CHILDRES RAY
Active
Individual
TERESA CHILDRES RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2295
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258G
BCBS GROUP PIN
NC
01
—
1039E
BCBS PROVIDER PIN
NC
05
—
6005064
—
NC
05
—
6102251
—
NC
01
—
7361114
AETNA BEH.HEALTH PIN
NC
01
—
7433388
AETNAGROUPBEHPIN
NC
01
—
B4131
MEDCOST.DOC ID #
NC
Enumeration date
12/27/2005
Last updated
07/13/2026
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