Individual
BRANDY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, RPT
Contact information
Practice address
2085 BLUESTONE DR STE 201, SAINT CHARLES, MO 63303-6727
(636) 362-6944
Mailing address
27115 COURTNEY PLACE CIR, WARRENTON, MO 63383-5662
(636) 362-6944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018027685
MO
Other
Enumeration date
02/07/2020
Last updated
03/20/2020
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