Provider Demographics
NPI:1508356163
Name:RAY, VALERIE L (MS)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:L
Last Name:RAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1188
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39760-1188
Mailing Address - Country:US
Mailing Address - Phone:662-323-9318
Mailing Address - Fax:662-323-5553
Practice Address - Street 1:507 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:MS
Practice Address - Zip Code:39339-2559
Practice Address - Country:US
Practice Address - Phone:662-773-9377
Practice Address - Fax:662-773-9025
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health