| Doctor Name: | MRS. CRYSTAL ANN RAY |
| NPI Number: | 1063517449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 2420 |
| Business Practice Address: | 521 N Brightleaf Blvd Johnston County Mental Health Center Smithfield, NC - 275774407 |
| Business Phone Number: | 9199895500 |
| Business Fax Number: | 9199895532 |
| Mailing Address: | Po Box 411, Johnston County Mental Health Center SMITHFIELD |
| State: | NC |
| Postal Code: | 275770411 |
| Phone Number: | 9199895500 |
| Fax Number: | 9199895532 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |