Individual
BRENDA MARIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC, LPC
Contact information
Practice address
106 EAST THIRD ST, IMBODEN, AR 72434
(870) 869-1500
(870) 869-1500
Mailing address
1205 CHARLES ST, IMBODEN, AR 72434-9004
(870) 869-1500
(870) 869-1500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0107025
AR
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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