Individual
CHRISTINA LEIGH RAVENEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2304 JOSEPH DR, COPPERAS COVE, TX 76522-7527
(417) 288-9139
Mailing address
2304 JOSEPH DR, COPPERAS COVE, TX 76522-7527
(417) 288-9139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
86507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86507
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
02/13/2023
Last updated
05/28/2024
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