Organization
RAVENSONG COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D WILLIAM GOODELL (SOCIAL WORKER)
(618) 616-1097
Entity
Organization
Contact information
Practice address
2900 SOUTH FRANK SCOTT PARKWAY WEST, SUITE 956 A, BELLEVILLE, IL 62223-0044
(618) 616-1097
(618) 398-4095
Mailing address
2900 SOUTH FRANK SCOTT PARKWAY WEST, SUITE 956 A, BELLEVILLE, IL 62223-0044
(618) 616-1097
(618) 398-4095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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