Individual ProviderCraig BrayMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address16195 Laguna St, Victorville, CA 92395-0600(909) 222-0594PECOS EnrollmentBased on the most recent information from CMS, provider Craig Bray does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1043052160Provider TypeIndividualFull NameBray, CraigCredentialMFTGenderMaleSole ProprietorYesEnumeration Date6/10/2024Last Updated6/10/2024Contact InformationPractice LocationPractice Address16195 Laguna St, Victorville, CA 92395-0600Phone(909) 222-0594FaxUnlisted FaxMailing LocationMailing Address16195 Laguna St, Victorville, CA 92395-0600Phone(909) 222-0594FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense115026California