Individual
MRS. ANDREA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, SUDP
Contact information
Practice address
7409 W GRANDRIDGE BLVD STE 101, KENNEWICK, WA 99336-6710
(208) 503-3698
(509) 357-8646
Mailing address
7409 W GRANDRIDGE BLVD STE 101, KENNEWICK, WA 99336-6710
(509) 554-6721
(509) 357-8646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00002514
WA
101YM0800X
Mental Health Counselor
Primary
LH00007805
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980267
—
WA
Enumeration date
01/19/2007
Last updated
10/29/2019
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