person
Teresa Childres Ray, MA,NCC,LPC
Professional Counselor in Gastonia, North Carolina
NPI 1215914742

Teresa Childres Ray is a Professional Counselor based in Gastonia, NC and is specialized in Professional. Teresa Childres Ray practices in Gastonia, NC and has the professional credentials of MA,NCC,LPC. The NPI Number for Teresa Childres Ray is 1215914742 and holds a License No. 2295 (North Carolina).

The current practice location address for Teresa Childres Ray is 258 E Garrison Blvd, Gastonia, NC and can be reached out via phone at 704-861-8405 and via fax at 704-865-0590. You can also correspond with Teresa Childres Ray through the mailing address at PO BOX 3984, GASTONIA, NC - 28054-0020 (mailing address contact number: 704-861-8405).

Location: 258 E Garrison Blvd, Gastonia, NC, 28054-0020
person
Provider Profile Details
NPI Number
1215914742
Provider Name
Teresa Childres Ray
Credential
MA,NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
258 E Garrison Blvd, Gastonia, NC, 28054-0020
Phone Number
704-861-8405
Fax Number
704-865-0590
Provider Enumeration Date
12/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B4131 01 NC MEDCOST.DOC ID #
6005064 05 NC
0258G 01 NC BCBS GROUP PIN
1039E 01 NC BCBS PROVIDER PIN
6102251 05 NC
7433388 01 NC AETNAGROUPBEHPIN
7361114 01 NC AETNA BEH.HEALTH PIN
institution
Provider Business Practice Location Address Details
Address
258 E Garrison Blvd
City
State
Zip
28054-0460
Phone Number
704-861-8405
Fax Number
704-865-0590
person
Provider Business Mailing Address Details
Address
258 E Garrison Blvd
City
State
Zip
28054-0460
Phone Number
704-861-8405
Fax Number
704-865-0590
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2295 (North Carolina)
Definition
Definition to come...
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