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Individual

JODANNA RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21730 NE 86TH ST, REDMOND, WA 98053-2255
(425) 891-9494
Mailing address
21730 NE 86TH ST, REDMOND, WA 98053-2255

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
103TC1900X
Counseling Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
04/25/2020
Last updated
04/25/2020
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