Provider Demographics
NPI:1487091898
Name:BOOKER, STEVEN RAY JR (LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:RAY
Last Name:BOOKER
Suffix:JR
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 EDWARD ST
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-3117
Mailing Address - Country:US
Mailing Address - Phone:251-633-2122
Mailing Address - Fax:
Practice Address - Street 1:1087 DOWNTOWNER BLVD STE A
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5411
Practice Address - Country:US
Practice Address - Phone:251-633-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2993101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional