National Provider Identifier
Jackie D Ray, FAMILY PEER ADVOCATE
Jackie D Ray, FAMILY PEER ADVOCATE is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 354-3336.
Profile Overview
- NPI
- 1770090672
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- January 02, 2018
- Last Updated
- January 02, 2018
Practice Location
- 1 Mustard St Ste 2000
- Rochester, NY 14609-6980
Phone: (585) 354-3336
Specialties
- Peer Specialist (175T00000X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1770090672
- Entity Type
- Individual
- Last Name
- Ray
- First Name
- Jackie
- Middle Name
- D
- Credential
- FAMILY PEER ADVOCATE
- Mailing Street Address
- 1 Mustard St Ste 2000
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-6980
- Mailing Country
- US
- Mailing Phone
- (585) 354-3336
- Practice Street Address
- 1 Mustard St Ste 2000
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-6980
- Practice Country
- US
- Practice Phone
- (585) 354-3336
- Enumeration Date
- January 02, 2018
- Last Updated
- January 02, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X), Counselor (101Y00000X)