Individual
AMY ALLISON RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
114 MANZANARES AVE E, SOCORRO, NM 87801-4213
(520) 406-2119
Mailing address
PO BOX 474, SOCORRO, NM 87801-0474
(520) 406-2119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0193141
NM
Other
Enumeration date
09/13/2017
Last updated
03/13/2025
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