Individual
ASHLEY NICOLE RAVENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2470G CELANESE RD # G, ROCK HILL, SC 29732-1312
(843) 452-4437
Mailing address
2470G CELANESE RD # G, ROCK HILL, SC 29732-1312
(843) 452-4437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC7228
SC
101YM0800X
Mental Health Counselor
LPC7228
SC
101YP2500X
Professional Counselor
Primary
LPC7228
SC
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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