Provider Demographics
NPI:1497005680
Name:HAIGHT-RAY, CARRIE (LPC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:HAIGHT-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 1:5677 BERKSHIRE VALLEY RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-0255
Mailing Address - Country:US
Mailing Address - Phone:973-545-2200
Mailing Address - Fax:973-409-4896
Practice Address - Street 1:5677 BERKSHIRE VALLEY RD
Practice Address - Street 2:SUITE 2
Practice Address - City:OAK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07438-0255
Practice Address - Country:US
Practice Address - Phone:973-545-2200
Practice Address - Fax:973-409-4896
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00368800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional