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Individual

MR. STEPHEN ANTHONY RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CACII, MAC

Contact information

Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3770
Mailing address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3770

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06033011
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
500947
SC

Other

Enumeration date
05/02/2012
Last updated
05/02/2012
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