Individual
MR. JARED RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP, LADC, CPC
Contact information
Practice address
9100 ANDERMATT DRIVE SUITE 1, LINCOLN, NE 68526-0000
(402) 434-2730
(402) 434-3970
Mailing address
9100 ANDERMATT DR STE 1, LINCOLN, NE 68526-6700
(402) 434-2730
(402) 434-3970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
802
NE
101YM0800X
Mental Health Counselor
Primary
1756
NE
101YP2500X
Professional Counselor
2365
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026721201
—
NE
Enumeration date
07/08/2009
Last updated
05/21/2020
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