Individual
NATHAN PAUL BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4400 TAMARACK ST, LAKE CHARLES, LA 70605-4427
(337) 515-6252
Mailing address
7378 HIGHWAY 90 E, LAKE CHARLES, LA 70615-4803
(337) 436-7553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4267
LA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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