Provider Demographics
NPI:1275857591
Name:RAY, MELISSA BRACKEN (MSCT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:BRACKEN
Last Name:RAY
Suffix:
Gender:F
Credentials:MSCT
Other - Prefix:
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Mailing Address - Street 1:1321 MCMILLAN AVE
Mailing Address - Street 2:
Mailing Address - City:BREWTON
Mailing Address - State:AL
Mailing Address - Zip Code:36426-1324
Mailing Address - Country:US
Mailing Address - Phone:251-867-3242
Mailing Address - Fax:251-867-7151
Practice Address - Street 1:328 W CLAIBORNE ST
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-1738
Practice Address - Country:US
Practice Address - Phone:251-575-4203
Practice Address - Fax:251-575-9459
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health