Provider Demographics
NPI:1801806336
Name:K U WRAY MA LPC PLLC
Entity type:Organization
Organization Name:K U WRAY MA LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:UHLE
Authorized Official - Last Name:WRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-878-3403
Mailing Address - Street 1:4 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:CO
Mailing Address - Zip Code:80540-8007
Mailing Address - Country:US
Mailing Address - Phone:720-878-3403
Mailing Address - Fax:
Practice Address - Street 1:545 COLLYER ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5598
Practice Address - Country:US
Practice Address - Phone:720-878-3403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO590101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty