Organization
RAVENWATER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MICHAEL CRAWFORD LPCC (OWNER / SOLE MEMBER)
(970) 371-8683
Entity
Organization
Contact information
Practice address
1360 ACAPULCO RD NE, RIO RANCHO, NM 87144-6449
(970) 371-8683
Mailing address
1360 ACAPULCO RD NE, RIO RANCHO, NM 87144-6449
(970) 371-8683
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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