Provider Demographics
NPI:1831660497
Name:MCCRAY, DANA H (MED, LPCC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:H
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 6TH ST STE 301D
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1731
Mailing Address - Country:US
Mailing Address - Phone:210-422-6424
Mailing Address - Fax:
Practice Address - Street 1:202 6TH ST STE 301D
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1731
Practice Address - Country:US
Practice Address - Phone:210-422-6424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0016173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional