Provider Demographics
NPI:1437569100
Name:MCRAY, CLINTON BOYD (LMHC, CAP)
Entity Type:Individual
Prefix:MR
First Name:CLINTON
Middle Name:BOYD
Last Name:MCRAY
Suffix:
Gender:M
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 FLOYD ST
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-8719
Mailing Address - Country:US
Mailing Address - Phone:904-520-3312
Mailing Address - Fax:
Practice Address - Street 1:11555 CENTRAL PKWY STE 704
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-2699
Practice Address - Country:US
Practice Address - Phone:904-520-3312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5996101YA0400X
FLMH8885101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)