Individual
MR. JAMES DANIEL RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
236 LOBLOLLY LN, SOPERTON, GA 30457-4836
(912) 216-2525
Mailing address
236 LOBLOLLY LN, SOPERTON, GA 30457-4836
(912) 216-2525
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03493
KS
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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