Matthew Ray
Counselor, Pastoral in Leland, MS. Individual provider (NPI-1).
NPI number1164083507
StatusActive
Last updated in NPPESJun 26, 2019
Details
- NPI
- 1164083507
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew Ray
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2019
- Last updated
- Jun 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP1600X | Counselor, Pastoral | – | – | Yes |
Practice location
703 E 3rd StLeland, MS 38756-2903
Phone 662-336-3301
Mailing address
703 E 3rd StLeland, MS 38756-2903
Phone 662-336-3301
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