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Organization
RAW COUNSELING INC.
Active
Organization
RAW COUNSELING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY WAYNE WILLIAMS SR. (C.E.O.)
(909) 695-7410
Entity
Organization
Contact information
Practice address
15409 ANACAPA RD STE 409-F, VICTORVILLE, CA 92392-2463
(909) 695-7410
Mailing address
PO BOX 2622, VICTORVILLE, CA 92393-2622
(909) 695-7410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790489763
—
CA
Enumeration date
11/06/2024
Last updated
11/06/2024
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