Individual
NICOLE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 76TH ST RM B101-G, NEWAYGO, MI 49337-7930
(231) 652-3587
(231) 652-5963
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 876-6527
(231) 876-6721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011277
MI
Other
Enumeration date
11/06/2013
Last updated
04/12/2023
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