Individual
LELAH RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CADC
Contact information
Practice address
235 N MILL ST STE 800, DECATUR, IL 62523-1381
(217) 330-9587
(217) 706-5717
Mailing address
235 N MILL ST STE 800, DECATUR, IL 62523-1381
(217) 330-9587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33883
IL
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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