Individual
TANYA LEWELLEN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 S 200 E STE 308, SALT LAKE CITY, UT 84111-3853
(801) 355-1528
Mailing address
660 S 200 E STE 308, SALT LAKE CITY, UT 84111-3853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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