Provider Demographics
NPI:1386797074
Name:RAY, CHRISTIE R (MA LMHC)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:R
Last Name:RAY
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:922 S COWLEY ST STE 9
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1263
Mailing Address - Country:US
Mailing Address - Phone:509-822-6777
Mailing Address - Fax:509-676-6655
Practice Address - Street 1:922 S COWLEY ST STE 9
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1263
Practice Address - Country:US
Practice Address - Phone:509-822-6777
Practice Address - Fax:509-676-6655
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004624101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1508371691Medicaid