Individual provider · Type 1 NPI

Re'quavas Jacqui Wray

Mental Health Counselor · Shelby, NC

NPI number 1295528727 Active

Practice location

809 N Lafayette St Ste A
Shelby, NC 28150-3886

Mailing address

1635 S Dekalb St Apt 1011
Shelby, NC 28152-7685

Other practice locations

  • 111 N Lafayette St, Shelby, NC 28150-4445 · (980) 202-0434

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA22107 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1295528727

Re'quavas Jacqui Wray's National Provider Identifier is 1295528727, issued on May 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shelby, NC. The record was last updated on Oct 1, 2025.