Individual
JO ANN RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS,TCADC
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 526-9348
(606) 526-1541
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
(606) 528-7010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KY
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
KY
Enumeration date
07/05/2016
Last updated
02/27/2017
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