Individual
KRISTEN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-13433
AZ
101YP2500X
Professional Counselor
Primary
LPC-15305
AZ
Other
Enumeration date
07/09/2010
Last updated
09/24/2014
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