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Individual

JEFFERY BENNETT RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO60538724

Contact information

Practice address
126 AUBURN AVE STE 300, AUBURN, WA 98002-5082
(253) 735-0166
(253) 253-3222
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO 60538724
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60671924
WA

Other

Enumeration date
04/13/2017
Last updated
05/13/2025
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