Provider Demographics
NPI:1124204953
Name:RAY, TERRIE L (LPC)
Entity Type:Individual
Prefix:
First Name:TERRIE
Middle Name:L
Last Name:RAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5984 S PRINCE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2083
Mailing Address - Country:US
Mailing Address - Phone:303-738-1021
Mailing Address - Fax:303-730-3339
Practice Address - Street 1:5984 S PRINCE ST STE 101
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2083
Practice Address - Country:US
Practice Address - Phone:303-738-1021
Practice Address - Fax:303-730-3339
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1610101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health