Individual
MS. RAVEN KATHLEEN CONWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 MONTGOMERY HWY STE 202, VESTAVIA HILLS, AL 35216-1839
(205) 916-0123
Mailing address
1911 15TH AVE S, BIRMINGHAM, AL 35205-4907
(205) 706-8453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4251
AL
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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