Ray, Jackie D

Ray, Jackie D is an individual health care provider with primary practice located at 1 Mustard St Ste 2000 , Rochester NY 14609-6980. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Peer Specialist is her primary health care specialty. Ray, Jackie D can be contacted via phone (585) 354-3336.

Contact Information

Primary practice address
1 Mustard St Ste 2000 Rochester NY 14609-6980
Phone: (585) 354-3336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1770090672
LBN Legal business name Ray, Jackie D
Credentials FAMILY PEER ADVOCATE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2018
Last updated Jan 2nd, 2018 - about 7 years 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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