CHARLES RAY

KANSAS CITY, KS
NPI1316351182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  037)
Enumeration Date2014-06-19
Last Update Date2014-06-19
Business Address
-- CHARLES RAY LAC
1024 HOEL PKWY
KANSAS CITY, KS 66102-4138
Phone number: 913-371-9668
Mailing Address
-- CHARLES RAY LAC
130 E 5TH ST PO BOX 711
NEWTON, KS 67114-2206
Phone number: 316-283-6743
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