Provider Demographics
NPI:1427891431
Name:RAY, JADIN ANDRIAN
Entity type:Individual
Prefix:
First Name:JADIN
Middle Name:ANDRIAN
Last Name:RAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WATER HILLS LN
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-9602
Mailing Address - Country:US
Mailing Address - Phone:910-215-7657
Mailing Address - Fax:
Practice Address - Street 1:150 WATER HILLS LN
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-9602
Practice Address - Country:US
Practice Address - Phone:910-215-7657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker