Individual
MICHELLE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
504 N BAKER ST, GLENNVILLE, GA 30427-2434
(912) 294-7118
Mailing address
504 N BAKER ST, GLENNVILLE, GA 30427-2434
(912) 294-7118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC012551
GA
Other
Enumeration date
05/13/2022
Last updated
06/30/2022
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