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Individual
RAY FEARON
Active
Individual
RAY FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00821000
NJ
101YM0800X
Mental Health Counselor
Primary
PC011400
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC011400
LPC LICENSE
PA
Enumeration date
06/11/2019
Last updated
05/03/2022
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