Carrie A Ray is a Counselor based in Decatur, IL. Carrie A Ray practices in Decatur, IL. The NPI Number for Carrie A Ray is 1003035254 and holds a License No. 178-002678 (Illinois).
The current practice location address for Carrie A Ray is 151 N Main St, Decatur, IL and can be reached out via phone at 217-362-6262.
Location: 151 N Main St, Decatur, IL, 62525-0710
Provider Profile Details
NPI Number
1003035254
Provider Name
Carrie A Ray
Credential
Provider Entity Type
Individual
Gender
Female
Address
151 N Main St, Decatur, IL, 62525-0710
Phone Number
217-362-6262
Fax Number
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178-002678 | 01 | IL | LPC LICENSURE |
Provider Business Practice Location Address Details
Address
151 N Main St
City
State
Zip
62523-1206
Phone Number
217-362-6262
Fax Number
Provider Business Mailing Address Details
Address
151 N Main St
City
State
Zip
62523-1206
Phone Number
217-362-6262
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
178-002678 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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