Organization
RAVENSWOOD COUNSELING
Active
Organization
RAVENSWOOD COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE BOYD LMFT (OWNER)
(360) 742-0418
Entity
Organization
Contact information
Practice address
8284 28TH CT NE STE A, LACEY, WA 98516-7161
(360) 742-0418
Mailing address
2824 28TH CT NE, SUITE A, LACEY, WA 98516
(360) 742-0418
(360) 980-4099
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LF60797974
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LF60797974
WA
Other
Enumeration date
12/19/2017
Last updated
07/15/2021
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