Individual
RAVEN LITTLEJOHN-KERSTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 PEACHTREE ST NE STE CS2, ATLANTA, GA 30308-3565
(865) 630-9062
Mailing address
2428 DICKEY RD, AUGUSTA, GA 30906-2671
(865) 630-9062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MSW007401
GA
1041C0700X
Clinical Social Worker
Primary
CSW007373
GA
Other
Enumeration date
03/21/2017
Last updated
03/29/2024
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