Individual
TANISHA J RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
218 E PLACITA LAGO DEL MAGO, SAHUARITA, AZ 85629
(520) 230-5174
Mailing address
315 W VALENCIA RD. UNIT #22661, TUCSON, AZ 85734-4668
(520) 230-5174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AZ-15321
AZ
Other
Enumeration date
11/01/2022
Last updated
07/05/2023
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