Individual
MINDY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4245
Mailing address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011426
MI
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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