| Doctor Name: | DAVID M RAY |
| NPI Number: | 1023272259 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, NCC |
| License Number: | P0504022 |
| Business Practice Address: | 1792 Falls Blvd N Ste. 5 Wynne, AR - 723964092 |
| Business Phone Number: | 8702089333 |
| Business Fax Number: | 8702089229 |
| Mailing Address: | 1792 N Falls Blvd, Ste 5 WYNNE |
| State: | AR |
| Postal Code: | 723960607 |
| Phone Number: | 8702089333 |
| Fax Number: | 8702089229 |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | P0504022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |