Individual
MR. JOSEPH W RAVAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
405A E 1ST AVE, EASLEY, SC 29640-3062
(864) 644-8251
Mailing address
405A E 1ST AVE, EASLEY, SC 29640-3062
(864) 437-3703
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6278
SC
227900000X
Registered Respiratory Therapist
RCP4566
SC
Other
Enumeration date
02/08/2014
Last updated
04/25/2016
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