Standard, Wray Douglas

Standard, Wray Douglas is an sole proprietor health care provider with primary practice located at 4203 Southpoint Blvd , Jacksonville FL 32216-6164. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Standard, Wray Douglas can be contacted via phone (904) 296-1055.

Contact Information

Primary practice address
4203 Southpoint Blvd Jacksonville FL 32216-6164
Phone: (904) 296-1055
Fax: (904) 296-1953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X BCABA 0-01-0318 Florida

Profile Details

NPI number 1376676759
LBN Legal business name Standard, Wray Douglas
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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