Individual
BRITTANY RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 E NICOLLET BLVD STE 200, BURNSVILLE, MN 55337-6743
(952) 993-6200
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19106130
WI
101YP2500X
Professional Counselor
Primary
4124
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003150004
—
WI
Enumeration date
01/26/2021
Last updated
01/09/2025
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