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Individual
MR. RAY JAMAAL HERNDON
Active
Individual
MR. RAY JAMAAL HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW.09928508
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7565A
OUTPATIENT MENTAL HEALTH
CA
Enumeration date
07/13/2009
Last updated
12/28/2022
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