Individual
MICHAEL LOUIS RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAC
Contact information
Practice address
974 EAST SOUTH TEMPLE, SALT LAKE CITY, UT 84102
(801) 533-0070
(801) 596-2240
Mailing address
974 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1413
(801) 533-0070
(801) 596-2240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6752488-6006
UT
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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