Provider Demographics
NPI:1598071540
Name:RAY, CHRISTINE ALLISON (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ALLISON
Last Name:RAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ALLISON
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:24 DOGWOOD TERRACE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3602
Mailing Address - Country:US
Mailing Address - Phone:973-393-7769
Mailing Address - Fax:
Practice Address - Street 1:24 DOGWOOD TERRACE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3602
Practice Address - Country:US
Practice Address - Phone:973-393-7769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F100165700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist