person
Raven L.e. Jirikovic
Mental Health Counselor in Coupeville, Washington
NPI 1447343942

Raven L.e. Jirikovic is a Mental Health Counselor based in Clinton, WA and is specialized in Mental Health. Raven L.e. Jirikovic practices in Coupeville, WA. The NPI Number for Raven L.e. Jirikovic is 1447343942 and holds a License No. RC00029629 (Washington).

The current practice location address for Raven L.e. Jirikovic is 105 Nw 1St St., Coupeville, WA and can be reached out via phone at 360-682-4052 and via fax at 360-678-3636.

Location: 105 Nw 1St St., Coupeville, WA, 98236
person
Provider Profile Details
NPI Number
1447343942
Provider Name
Raven L.e. Jirikovic
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Nw 1St St., Coupeville, WA, 98236
Phone Number
360-682-4052
Fax Number
360-678-3636
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
105 Nw 1St St.
City
State
Zip
98239
Phone Number
360-682-4052
Fax Number
360-678-3636
person
Provider Business Mailing Address Details
Address
105 Nw 1St St.
City
State
Zip
98239
Phone Number
360-682-4052
Fax Number
360-678-3636
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
RC00029629 (Washington)
Definition
Definition to come...
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