Individual
ADAM RICHARD RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 850-8369
Mailing address
410 FONTANA CIR APT 303, OVIEDO, FL 32765-5536
(407) 443-6529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18407
FL
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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