Individual
MR. CLEVELAND CARROLL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCMH
Contact information
Practice address
17527 NASSAU COMMONS BLVD STE 101, LEWES, DE 19958-6283
(302) 363-8835
Mailing address
17527 NASSAU COMMONS BLVD STE 101, LEWES, DE 19958-6283
(302) 363-8835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC-0000539
DE
Other
Enumeration date
07/29/2008
Last updated
04/23/2014
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