Individual
GRACE PEARL RAVENELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4773 CAUGHLIN PKWY, STE 2, RENO, NV 89519
(775) 677-2216
Mailing address
4773 CAUGHLIN PKWY STE 2, RENO, NV 89519-1012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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