Provider Demographics
NPI:1396092086
Name:MAY, KALTON RAY (LPC)
Entity type:Individual
Prefix:
First Name:KALTON
Middle Name:RAY
Last Name:MAY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:KALTON
Other - Middle Name:RAY
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:502 S IRVING ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-6943
Mailing Address - Country:US
Mailing Address - Phone:325-944-9100
Mailing Address - Fax:325-227-6758
Practice Address - Street 1:502 S IRVING ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6943
Practice Address - Country:US
Practice Address - Phone:325-944-9100
Practice Address - Fax:325-227-6758
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64677101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor