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Individual

JOHN RAVEN

Active
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Individual

JOHN RAVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-12-70
OR
101YP2500X
Professional Counselor
C3475
OR

Other

Enumeration date
08/21/2007
Last updated
12/23/2021
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