Individual
RAVEN T. O'ROURKE KEOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
719 THOMPSON LANE, SUITE 37189, NASHVILLE, TN 37204
(615) 285-9134
Mailing address
401 SOUTH MOUNT JULIET ROAD SUITE 235, #170, MT. JULIET, TN 37122-3616
(615) 285-9134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5966
TN
1041C0700X
Clinical Social Worker
Primary
5966
TN
Other
Enumeration date
09/18/2013
Last updated
03/08/2024
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