Individual
MS. SUSAN JILL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
970 N KALAHEO AVE STE A212, KAILUA, HI 96734-1857
(808) 227-6791
(808) 744-8322
Mailing address
442 KALAMA ST, KAILUA, HI 96734-2045
(808) 227-6791
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 109
HI
106H00000X
Marriage & Family Therapist
MFT-109
HI
Other
Enumeration date
11/15/2006
Last updated
02/12/2024
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