Nicole L Ray, AAC
Counselor, Mental Health in Centralia, WA. Individual provider (NPI-1).
NPI number1982242350
StatusActive
Last updated in NPPESDec 17, 2019
Details
- NPI
- 1982242350
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole L Ray
- Credential
- AAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2019
- Certification date
- Dec 17, 2019
- Last updated
- Dec 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3510 Steelhammer DrCentralia, WA 98531-4551
Phone 360-330-9044
Mailing address
2428 W Reynolds AveCentralia, WA 98531-4554
Phone 360-330-9044
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