Most Relevant Information
Provider Data
| NPI Number: | 1003352766 |
| Provider Name: | BILLIE RAY CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 131514 |
Most Important Dates
| Enumeration Date: | 01/18/2017 |
| Last Updated: | 01/18/2017 |
Provider Practice Location
602 CHILLICOTHE ST
PORTSMOUTH
OH
456624093
Practice Location Phone/Fax
| Phone: | 7405297356 |
| Fax: |
Provider Mailing Location
602 CHILLICOTHE ST
PORTSMOUTH
OH
456624093
Provider Mailing Phone/Fax
| Phone: | 7405297356 |
| Fax: |