Individual
KARISSA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4904 S POWER RD STE 103-268, MESA, AZ 85212-3609
(480) 226-2260
Mailing address
4904 S POWER RD STE 103, MESA, AZ 85212-3610
(480) 204-5816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-6514T
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-22076
AZ
Other
Enumeration date
06/16/2020
Last updated
06/25/2025
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