Individual
MR. RAY EDWARD CAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED., LCPC
Contact information
Practice address
1835 S MARSH WOOD PL, MERIDIAN, ID 83642-7457
(208) 420-5380
Mailing address
1835 S MARSH WOOD PL, MERIDIAN, ID 83642-7457
(208) 420-5380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3129
ID
101YP2500X
Professional Counselor
LCPC-3129
ID
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LCPC-3129
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861500035
—
ID
Enumeration date
10/05/2005
Last updated
03/23/2026
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