Individual
AHNA DENETE RAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
190 LIME QUARRY RD STE 111, MADISON, AL 35758-8975
(256) 278-2802
Mailing address
105 ROCK MANOR CT, MADISON, AL 35756-5809
(256) 374-9310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
10/15/2024
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