Provider Demographics
NPI:1285771121
Name:RAY, FAITH KAUFHOLD (MS LPC LMFT)
Entity type:Individual
Prefix:MS
First Name:FAITH
Middle Name:KAUFHOLD
Last Name:RAY
Suffix:
Gender:F
Credentials:MS LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16607 BLANCO RD
Mailing Address - Street 2:ST 502
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232
Mailing Address - Country:US
Mailing Address - Phone:210-386-3869
Mailing Address - Fax:210-434-1380
Practice Address - Street 1:16607 BLANCO RD
Practice Address - Street 2:ST 502
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232
Practice Address - Country:US
Practice Address - Phone:210-386-3869
Practice Address - Fax:210-434-1380
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10412101Y00000X
TX001782042429106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist