Doctor Name: | ERICA M RAY |
NPI Number: | 1104156660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 180.005055 |
Business Practice Address: | 600 Holiday Plaza Suite 400 Matteson, IL - 60443 |
Business Phone Number: | 7086799137 |
Business Fax Number: | |
Mailing Address: | 600 Holiday Plaza, Suite 400 MATTESON |
State: | IL |
Postal Code: | 60443 |
Phone Number: | 7086799137 |
Fax Number: | 7085034920 |
NPI Enumeration Date: | 01/06/2010 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 180.005055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |