Individual
DEBORAH RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 DEVANT ST STE 1001, FAYETTEVILLE, GA 30214-2719
(770) 997-1738
(770) 991-1375
Mailing address
1651 PHOENIX BLVD STE 2, COLLEGE PARK, GA 30349-5552
(770) 997-1738
(770) 991-1375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003891
GA
Other
Enumeration date
04/22/2011
Last updated
11/03/2011
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