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Individual
MR. JASON CHRISTIAN RAVIZZA
Active
Individual
MR. JASON CHRISTIAN RAVIZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.,LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4027
MA
101YS0200X
School Counselor
365449
MA
1041S0200X
School Social Worker
365449
MA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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