Provider Demographics
NPI:1891087680
Name:RAY, JULIE M (MS MFT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:M
Last Name:RAY
Suffix:
Gender:F
Credentials:MS MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 BENTON ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:WA
Mailing Address - Zip Code:98826-1260
Mailing Address - Country:US
Mailing Address - Phone:509-713-3416
Mailing Address - Fax:
Practice Address - Street 1:100 MAPLE ST
Practice Address - Street 2:
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-1620
Practice Address - Country:US
Practice Address - Phone:509-713-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60143384106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist