Individual
MRS. TIFFANY D RAVENEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2810 ASHLEY PHOSPHATE RD STE B13, N CHARLESTON, SC 29418-6401
(843) 408-3214
(843) 737-5264
Mailing address
4179 DAVISON RD, RAVENEL, SC 29470-5307
(843) 408-3214
(843) 737-5264
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5992
SC
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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