Ray, Andrea

Ray, Andrea is an individual health care provider with primary practice located at 7409 W Grandridge Blvd Ste 101 , Kennewick WA 99336-6710. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ray, Andrea can be contacted via phone (208) 503-3698.

Contact Information

Primary practice address
7409 W Grandridge Blvd Ste 101 Kennewick WA 99336-6710
Phone: (208) 503-3698
Fax: (509) 357-8646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00002514 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00007805 Washington

Profile Details

NPI number 1831242908
LBN Legal business name Ray, Andrea
Credentials LMHC, SUDP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Oct 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831242908 NPPES
Washington MEDICAID 1980267

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