Provider Demographics
NPI:1093095341
Name:DEMARAY, CAROL A (LCPC LMFT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:DEMARAY
Suffix:
Gender:F
Credentials:LCPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21632
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59104-1632
Mailing Address - Country:US
Mailing Address - Phone:406-671-9560
Mailing Address - Fax:
Practice Address - Street 1:1643 LEWIS AVE STE 3-4
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4151
Practice Address - Country:US
Practice Address - Phone:406-671-9560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional