Individual
FAITH BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3419 VIRGINIA BEACH BLVD, #5079, VIRGINIA BEACH, VA 23452
(757) 952-6055
Mailing address
520 LUMMIS RD, SUFFOLK, VA 23434-8509
(757) 472-2414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704016417
VA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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