Wray Douglas Standard in Jacksonville - Counselor
Wray Douglas Standard - NPI 1376676759
Wray Douglas Standard is a Counselor in Jacksonville, Florida. Wray Douglas Standard practices all healthcare services and medical treatments related to Counselor. The NPI Number for Wray Douglas Standard is 1376676759. The last update date is 2007-07-09.
Wray Douglas Standard's current location address is 4117 Castlebay Dr, Jacksonville, Florida. You can contact this provider via phone number 9042961055 and fax number 9042961953. The mailing address for Wray Douglas Standard is 4117 Castlebay Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wray Douglas Standard |
|---|---|
| Address | 4117 Castlebay Dr, Jacksonville, Florida |
| Phone Number | 9042961055 |
| Fax Number | 9042961953 |
| Sole Proprietor | Y |
| Credentials | BCABA |
NPI Number Detail
| NPI Number | 1376676759 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4117 Castlebay Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322578966 |
| Phone Number | 9042961055 |
| Fax Number | 9042961953 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | BCABA 0-01-0 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Wray Douglas Standard?
The Wray Douglas Standard has been issued the NPI (National Provider Identifier) 1376676759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Wray Douglas Standard?
The Wray Douglas Standard is physically situated at 4117 Castlebay Dr, in the city of Jacksonville, state of FL, with the postal code 322578966.
What is Wray Douglas Standard's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wray Douglas Standard is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did the Wray Douglas Standard receive the assignment of its 1376676759 from the Centers for Medicare & Medicaid Services?
The Wray Douglas Standard was issued its 1376676759 by the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information pertaining to Wray Douglas Standard most recently updated or revised?
The details related to Wray Douglas Standard, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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