Individual
JACQUELINE R. RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A; MED
Contact information
Practice address
303 W DIVISION ST, CHICAGO, IL 60610-0300
(773) 306-3480
Mailing address
303 W DIVISION ST APT 622, CHICAGO, IL 60610-0343
(847) 417-2092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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