Individual
JAMIE MARIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
623 MILL ST, DEER LODGE, MT 59722-1810
(406) 560-4501
Mailing address
623 MILL ST, DEER LODGE, MT 59722-1810
(406) 560-4501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-27518
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-LCPC-LIC-27518
BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
08/23/2022
Last updated
08/23/2022
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