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Individual

KAYLA KRYSTL RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5 REGENT ST, LIVINGSTON, NJ 07039-1675
(315) 608-0700
Mailing address
1 SAINT JUDES PL, DOVER, NJ 07801-4309

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
37PC00698300
NJ

Other

Enumeration date
11/10/2020
Last updated
11/27/2023
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