Individual
RAVEN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3869 CHRISWOOD LN, HARVEY, LA 70058-2006
(504) 309-2533
Mailing address
201 ST CHARLES AVE, NEW ORLEANS, LA 70170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010365204
LA
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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