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Organization
RAVEN COUNSELING
Active
Organization
RAVEN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE H TUTTLE LCSW (OWNER)
(210) 960-1695
Entity
Organization
Contact information
Practice address
1318 OBLATE DR, SAN ANTONIO, TX 78216-6856
(210) 960-1695
Mailing address
7113 SAN PEDRO AVE # 301, SAN ANTONIO, TX 78216-6219
(210) 960-1695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39979
BEHAVIORAL HEALTH EXECUTIVE COUNCIL- TEXAS
TX
Enumeration date
10/18/2022
Last updated
10/18/2022
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