Individual
KELLY L RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CACII
Contact information
Practice address
907 N MAIN ST, SUITE 202, ANDERSON, SC 29621-5526
(864) 225-0591
Mailing address
907 N MAIN ST, SUITE 202, ANDERSON, SC 29621-5526
(864) 225-0591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10052010
SC
101YP2500X
Professional Counselor
Primary
5267
SC
Other
Enumeration date
04/11/2012
Last updated
12/08/2015
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