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Individual
MR. RAY MCCRAY NELSON
Active
Individual
MR. RAY MCCRAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001660
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085723
SENTARA
VA
01
—
110320
ANTHEM
VA
Enumeration date
02/09/2007
Last updated
07/08/2007
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