Individual
INEZ KATHLEEN RAY-ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
8000 NE PARKWAY DR STE 200, VANCOUVER, WA 98662-6737
(360) 690-6550
(360) 253-6424
Mailing address
4205 NE 151ST AVE, VANCOUVER, WA 98682-7074
(360) 690-6550
(360) 253-6424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00009698
WA
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW 00009698
LICENSED CLINICAL SOCIAL WORKER (LICSW)
WA
01
—
RC00048802
REGISTER COUNSELOR
WA
Enumeration date
03/08/2007
Last updated
09/24/2009
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