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Individual

MRS. DIANA LYNN BRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
3202 MCINTOSH CIRCLE, STE. LL02, JOPLIN, MO 64801-3646
(417) 347-3508
(417) 347-3503
Mailing address
3410 TEN PIN LANE, JOPLIN, MO 64801-8273
(417) 782-5865

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NBCC CERT. 48566
MO
101YP2500X
Professional Counselor
2000158120
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48566
NBCC
MO
Enumeration date
10/31/2006
Last updated
09/11/2025
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