person
Ravanna Jackman-el
Peer Specialist in Baltimore, Maryland
NPI 1134830623

Ravanna Jackman-el is a Peer Specialist based in Baltimore, MD. Ravanna Jackman-el practices in Baltimore, MD. The NPI Number for Ravanna Jackman-el is 1134830623 and holds a License No. PR0584 (Maryland).

The current practice location address for Ravanna Jackman-el is 14 S Broadway, Baltimore, MD and can be reached out via phone at 667-234-0430.

Location: 14 S Broadway, Baltimore, MD, 21231-1712
person
Provider Profile Details
NPI Number
1134830623
Provider Name
Ravanna Jackman-el
Credential
Provider Entity Type
Individual
Gender
Male
Address
14 S Broadway, Baltimore, MD, 21231-1712
Phone Number
667-234-0430
Fax Number
Provider Enumeration Date
12/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 S Broadway
City
State
Zip
21231-1712
Phone Number
667-234-0430
Fax Number
person
Provider Business Mailing Address Details
Address
14 S Broadway
City
State
Zip
21231-1712
Phone Number
667-234-0430
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
PR0584 (Maryland)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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