Individual
REGINA RAVENELL-CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 CONKLIN AVE, WHEATLEY HEIGHTS, NY 11798-1711
(631) 885-4197
(631) 920-6264
Mailing address
162 CONKLIN AVE, WHEATLEY HEIGHTS, NY 11798-1711
(631) 885-4197
(631) 920-6264
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
NY
Other
Enumeration date
03/07/2024
Last updated
03/12/2024
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