Individual
MS. LISA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5001 WESTBANK EXPY, MARRERO, LA 70072-2954
(504) 349-8708
(504) 349-8768
Mailing address
4801 HICKORY DRIVE, SLIDELL, LA 70458-4915
(256) 652-5846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5451
LA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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