Individual
MS. RAVEN NICOLE GOINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 LADY ST STE B, COLUMBIA, SC 29201-3482
(803) 252-4111
(803) 602-5161
Mailing address
248 SUNDAY SILENCE LN, ELGIN, SC 29045-7121
(803) 479-3996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/16/2021
Last updated
11/14/2024
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