Individual
MARY RAY-COUNCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A, CSAC
Contact information
Practice address
2011 LILLIAN DR, CLAYTON, NC 27520-7717
(919) 333-1126
(919) 872-1455
Mailing address
2011 LILLIAN DRIVE, CLAYTON, NC 27520-7717
(919) 333-1126
(919) 872-1455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSAC-2998
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22802
NC
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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