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Individual
ROBERT RAY
Active
Individual
ROBERT RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD-233
CO
101YP2500X
Professional Counselor
Primary
LPC-11346
CO
Other
Enumeration date
09/12/2014
Last updated
01/03/2018
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