Individual
BRYNA RAQUEL MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1333 STRAD AVE STE 109, NORTH TONAWANDA, NY 14120-3061
(716) 253-2704
Mailing address
1585 RUIE RD, NORTH TONAWANDA, NY 14120-1841
(716) 253-2704
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
008419
NY
101YP2500X
Professional Counselor
Primary
0701004941
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114202157
—
VA
Enumeration date
10/20/2011
Last updated
03/12/2020
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