Doctor Name: | BRYNA RAQUEL MAY |
NPI Number: | 1114202157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701004941 |
Business Practice Address: | 13216 Lovers Ln Culpeper, VA - 227014168 |
Business Phone Number: | 5408250705 |
Business Fax Number: | 5408250706 |
Mailing Address: | 13216 Lovers Ln, CULPEPER |
State: | VA |
Postal Code: | 227014168 |
Phone Number: | 5408250705 |
Fax Number: | 5408250706 |
NPI Enumeration Date: | 10/20/2011 |
NPI Last Update Date: | 10/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701004941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |