Individual
RAVEN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS,MC
Contact information
Practice address
1701 MISSION AVE STE 230, OCEANSIDE, CA 92058-7110
(760) 712-3535
(760) 439-6901
Mailing address
1701 MISSION AVE STE 230, OCEANSIDE, CA 92058-7110
(760) 712-3535
(760) 439-6901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
14013
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/11/2021
Last updated
04/04/2024
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