Organization
MR RAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN RICHARD RAY M.S., CRC, LAPC (THERAPIST)
(678) 288-5767
Entity
Organization
Contact information
Practice address
675 SEMINOLE AVE NE, SUITE 307, ATLANTA, GA 30307-3408
(678) 701-9559
Mailing address
675 SEMINOLE AVE NE, SUITE 307, ATLANTA, GA 30307-3408
(678) 701-9559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004315
GA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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