Individual
BRYAN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
617 3RD ST, GRAHAM, TX 76450-3101
(940) 549-2259
(940) 549-2886
Mailing address
617 3RD ST, GRAHAM, TX 76450-3101
(940) 549-2259
(940) 549-2886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095843102
—
TX
Enumeration date
06/08/2006
Last updated
02/07/2024
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