Individual
CANDIE SUE DRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
311 MARKET ST., 311 MARKET ST,, LIMA, OH 45801
(419) 222-4474
Mailing address
311 E MARKET ST, LIMA, OH 45801-4535
(419) 222-4474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
162967
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162967
—
OH
Enumeration date
09/01/2017
Last updated
03/01/2023
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