| Doctor Name: | MRS. JODY MARIE RAY |
| NPI Number: | 1245403112 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 01212-L |
| Business Practice Address: | 104 Big Bend Ranch Road Wadsworth, NV - 89442 |
| Business Phone Number: | 7753526840 |
| Business Fax Number: | |
| Mailing Address: | 153 Roughing It Rd, DAYTON |
| State: | NV |
| Postal Code: | 894039745 |
| Phone Number: | 7753526840 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2008 |
| NPI Last Update Date: | 01/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 01212-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |