Individual
KAKA LYN RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5409 MARYLAND WAY STE 305, BRENTWOOD, TN 37027-1035
(615) 589-3879
Mailing address
6104 BRYAN PL, BRENTWOOD, TN 37027-4935
(615) 568-0784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
0611
TN
101YP2500X
Professional Counselor
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/25/2018
Last updated
06/16/2018
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