Individual
IVAN A VAN RAVENSWAAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2755 N CENTRE COURT DR, TUCSON, AZ 85705-4281
(520) 390-9243
Mailing address
317 E COTTONWOOD LN STE B4, CASA GRANDE, AZ 85122-2517
(928) 975-4091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21190
AZ
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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