Doctor Name: | MR. MICHEAL RAY MCVAY |
NPI Number: | 1023219920 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | LCPC 073 |
Business Practice Address: | 765 Sunset Dr Colby, KS - 677012942 |
Business Phone Number: | 7854602530 |
Business Fax Number: | 7854604699 |
Mailing Address: | 765 Sunset Dr, COLBY |
State: | KS |
Postal Code: | 677012942 |
Phone Number: | 7854602530 |
Fax Number: | 7854604699 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCPC 073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |