Individual
RALPH IRWIN WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
107 LAUREL ST, NEWPORT, AR 72112
(870) 972-4939
(870) 972-4911
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1704280
AR
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178464795
—
AR
Enumeration date
08/24/2009
Last updated
08/22/2018
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