Individual
CORINNE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1028 BARRET AVE, LOUISVILLE, KY 40204
(502) 451-1221
Mailing address
1028 BARRET AVE, LOUISVILLE, KY 40204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168927
KY
101YP2500X
Professional Counselor
168698
KY
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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