Individual provider · Type 1 NPI

Otis Ray Sr., LICDC

Addiction (Substance Use Disorder) Counselor · Cincinnati, OH

NPI number 1083532774 Active

Practice location

1617 Reading Rd
Cincinnati, OH 45202-1413

Call (513) 751-7747 Map

Mailing address

2600 Victory Pkwy
Cincinnati, OH 45206-1395

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC-CS.82736 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083532774

Otis Ray Sr., LICDC's National Provider Identifier is 1083532774, issued on Jul 9, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cincinnati, OH. The record was last updated on Jul 9, 2026.