Provider Demographics
NPI:1225656606
Name:MCCRAY, KIKI SARON (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:KIKI
Middle Name:SARON
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10263 SUMMIT RUN DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4726
Mailing Address - Country:US
Mailing Address - Phone:504-813-9863
Mailing Address - Fax:
Practice Address - Street 1:10263 SUMMIT RUN DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4726
Practice Address - Country:US
Practice Address - Phone:504-813-9863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-11
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78770101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor