Individual
BEVERLY TAYLOR RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8302 INDIANA AVE, SUITE 7, LUBBOCK, TX 79423-2835
(806) 783-0707
Mailing address
8302 INDIANA AVE, SUITE 7, LUBBOCK, TX 79423-2835
(806) 783-0707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1787LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/03/2006
Last updated
07/08/2007
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