Individual provider · Type 1 NPI
James Otis Ray, COUNSELOR
Addiction (Substance Use Disorder) Counselor · Fullerton, CA
NPI number
1417039579
Active
Practice location
1060 S Brookhurst Rd
Fullerton, CA 92833-3709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1417039579
James Otis Ray, COUNSELOR's National Provider Identifier is 1417039579, issued on Oct 19, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fullerton, CA. The record was last updated on Jul 8, 2007.