Individual
ELIZABETH ANN RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222511
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-04997
MI
Other
Enumeration date
05/05/2019
Last updated
09/13/2023
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