Cammack, Ray Edward

Cammack, Ray Edward is an sole proprietor health care provider with primary practice located at 1835 S Marsh Wood Pl , Meridian ID 83642-7457. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cammack, Ray Edward can be contacted via phone (208) 420-5380.

Contact Information

Primary practice address
1835 S Marsh Wood Pl Meridian ID 83642-7457
Phone: (208) 420-5380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-3129 Idaho
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-3129 Idaho
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LCPC-3129 Idaho

Profile Details

NPI number 1528055399
LBN Legal business name Cammack, Ray Edward
Credentials M. ED., LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Mar 23rd, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528055399 NPPES
Idaho MEDICAID 1861500035

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