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Raven Logan
Mental Health Counselor in Ripley, Mississippi
NPI 1043865835

Raven Logan is a Mental Health Counselor based in Ripley, MS and is specialized in Mental Health. Raven Logan practices in Ripley, MS. The NPI Number for Raven Logan is 1043865835 and holds a License No. (Mississippi).

The current practice location address for Raven Logan is 2441A County Road 501, Ripley, MS and can be reached out via phone at 662-837-8154.

Location: 2441A County Road 501, Ripley, MS, 38663-9677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043865835
Provider Name
Raven Logan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2441A County Road 501, Ripley, MS, 38663-9677
Phone Number
662-837-8154
Fax Number
Provider Enumeration Date
08/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2441A County Road 501
City
Ripley
State
Mississippi
Zip
38663-9677
Phone Number
662-837-8154
Fax Number
person
Provider Business Mailing Address Details
Address
2441A County Road 501
City
Ripley
State
Mississippi
Zip
38663-9677
Phone Number
662-837-8154
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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