Individual
DEIRDRE RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15500 VOSS RD STE 200-1067, SUGAR LAND, TX 77498-4601
(830) 590-0909
(713) 575-3889
Mailing address
15500 VOSS RD STE 200-1067, SUGAR LAND, TX 77498-4601
(830) 590-0909
(713) 575-3889
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
717525
TX
163WA2000X
Administrator Registered Nurse
717525
TX
163WC0400X
Case Management Registered Nurse
717525
TX
163WC1500X
Community Health Registered Nurse
717525
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
717525
TX
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
717525
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
717525
TX
174H00000X
Health Educator
717525
TX
405300000X
Prevention Professional
717525
TX
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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