Individual provider · Type 1 NPI

Lilliann Emma Ray

Peer Specialist · Fargo, ND

NPI number 1700522265 Active

Practice location

921 2nd Ave S
Fargo, ND 58103-1705

Call (701) 212-8626 Map

Mailing address

21 9th St S
Fargo, ND 58103-1830

Other practice locations

  • 111 9th St S, Fargo, ND 58103-1831 · (701) 212-8626

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000X00000 (ND)
Peer Specialist Primary 175T00000X00000 (ND)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1700522265

Lilliann Emma Ray's National Provider Identifier is 1700522265, issued on May 9, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fargo, ND. The record was last updated on May 9, 2022.