Individual
BILLIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
602 CHILLICOTHE ST, PORTSMOUTH, OH 45662-4093
(740) 529-7356
Mailing address
602 CHILLICOTHE ST, PORTSMOUTH, OH 45662-4093
(740) 529-7356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131514
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
OH
Enumeration date
01/18/2017
Last updated
01/18/2017
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