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Raven Mosley
Mental Health Counselor in Kelso, Washington
NPI 1033635917

Raven Mosley is a Mental Health Counselor based in Kelso, WA and is specialized in Mental Health. Raven Mosley practices in Kelso, WA. The NPI Number for Raven Mosley is 1033635917 and holds a License No. (Washington).

The current practice location address for Raven Mosley is P.o Box 1062, Kelso, WA and can be reached out via phone at 360-423-0203.

Location: P.o Box 1062, Kelso, WA, 98632-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033635917
Provider Name
Raven Mosley
Credential
Provider Entity Type
Individual
Gender
Female
Address
P.o Box 1062, Kelso, WA, 98632-2315
Phone Number
360-423-0203
Fax Number
Provider Enumeration Date
08/22/2017
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
P.o Box 1062
City
Kelso
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
person
Provider Business Mailing Address Details
Address
P.o Box 1062
City
Kelso
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C7502 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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