Individual
DIANA DODSON RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
100 W H ST, BUTNER, NC 27509-1605
(919) 575-7620
(919) 575-7146
Mailing address
7619 LEESVILLE RD, RALEIGH, NC 27613-4026
(919) 691-5409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22772
NC
1041C0700X
Clinical Social Worker
Primary
C010230
NC
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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