Individual
MRS. JODY MARIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 BIG BEND RANCH ROAD, WADSWORTH, NV 89442
(775) 352-6840
Mailing address
153 ROUGHING IT RD, DAYTON, NV 89403-9745
(775) 352-6840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01212-L
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01212-L
LICENSED SUBSTANCE ABUSE COUNSELOR
NV
Enumeration date
04/10/2008
Last updated
01/28/2010
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