Provider Demographics
NPI:1407558380
Name:RAY, KAHINA SENICE (MS)
Entity Type:Individual
Prefix:
First Name:KAHINA
Middle Name:SENICE
Last Name:RAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5035 S EAST END AVE APT 3009S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-0062
Mailing Address - Country:US
Mailing Address - Phone:708-674-9097
Mailing Address - Fax:
Practice Address - Street 1:5035 S EAST END AVE APT 3009S
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-0062
Practice Address - Country:US
Practice Address - Phone:708-674-9097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional