Individual
MIRIAM LORENA RAVELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E STATE ST STE 301, MASON CITY, IA 50401-3309
(641) 421-2089
Mailing address
2618 S ADAMS AVE, MASON CITY, IA 50401-6665
(641) 485-8401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122290
IA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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