Individual
MR. JOHNNY R RAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-PIP, LAC, QMHP
Contact information
Practice address
1915 E 8TH ST STE 102, SIOUX FALLS, SD 57103-1865
(605) 271-7712
(605) 274-1557
Mailing address
1915 E 8TH ST STE 102, SIOUX FALLS, SD 57103-1865
(605) 789-9764
(605) 274-1557
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4732
SD
104100000X
Social Worker
5004
SD
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
07/24/2023
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