Mary Ray, LPC

NPI #1033652573 in Springfield, Illinois

Provider Information

NPI Number: 1033652573
Entity Type: Individual
Name: Mary Ray, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Dec 1, 2016
Last Updated: Mar 23, 2017

Practice Location

Address: 215 S GRAND AVE W
City: Springfield
State: Illinois
ZIP Code: 62704-3838
Phone: (217) 744-3525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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