Individual
KIRA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2075 NW GRANT AVE, CORVALLIS, OR 97330-4366
(541) 368-3152
Mailing address
2075 NW GRANT AVE, CORVALLIS, OR 97330-4366
(541) 368-3152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L8021
OR
Other
Enumeration date
07/22/2015
Last updated
10/11/2022
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