Ivry Rayborn, PCIDDT

NPI #1427772979 in Richton, Mississippi

Provider Information

NPI Number: 1427772979
Entity Type: Individual
Name: Ivry Rayborn, PCIDDT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: PCIDDT
Enumeration Date: Sep 28, 2022
Last Updated: Sep 28, 2022

Practice Location

Address: 200 N FRONT ST
City: Richton
State: Mississippi
ZIP Code: 39476-2201
Phone: (601) 788-6299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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