Individual
CASEY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
940 LASLEY DR, LEBANON, IN 46052-1480
(260) 415-7398
Mailing address
5101 E US HIGHWAY 36 STE 100, AVON, IN 46123-6646
(888) 714-1927
(317) 745-9565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003356A
IN
101YM0800X
Mental Health Counselor
88000209A
IN
Other
Enumeration date
04/30/2017
Last updated
10/05/2018
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