Provider Demographics
NPI:1649308339
Name:MCCRAY, JAMES J
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:MCCRAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1521
Mailing Address - Country:US
Mailing Address - Phone:229-395-4429
Mailing Address - Fax:
Practice Address - Street 1:808 10TH AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1521
Practice Address - Country:US
Practice Address - Phone:229-395-4429
Practice Address - Fax:229-432-2304
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional