Individual
HEATHER NICOLE RAVENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4201 ANDERSON AVE STE D110, MANHATTAN, KS 66503-7603
(785) 539-5455
Mailing address
207 8TH ST, WAMEGO, KS 66547-1516
(785) 844-2898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04424
KS
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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