Individual
BRANDILYN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1000
Mailing address
938 MULBERRY ST, LOUISVILLE, KY 40217-1251
(502) 314-1317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
1469
KY
Other
Enumeration date
05/19/2008
Last updated
10/03/2014
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