Individual
MRS. BEVERLY JEANETTE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPC
Contact information
Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 746-4748
(907) 746-4750
Mailing address
PO BOX 876741, WASILLA, AK 99687-6741
(907) 746-4748
(907) 746-4750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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