person
Blake Campbell Ravin, LPC
Mental Health Counselor in Statesville, North Carolina
NPI 1538405121

Blake Campbell Ravin is a Mental Health Counselor based in Barium Springs, NC and is specialized in Mental Health. Blake Campbell Ravin practices in Statesville, NC and has the professional credentials of LPC. The NPI Number for Blake Campbell Ravin is 1538405121 and holds a License No. 4277 (North Carolina).

The current practice location address for Blake Campbell Ravin is 209 Barium Springs Drive, Statesville, NC and can be reached out via phone at 704-873-1011 and via fax at 704-832-2253.

Location: 209 Barium Springs Drive, Statesville, NC, 28010-0001
person
Provider Profile Details
NPI Number
1538405121
Provider Name
Blake Campbell Ravin
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
209 Barium Springs Drive, Statesville, NC, 28010-0001
Phone Number
704-873-1011
Fax Number
704-832-2253
Provider Enumeration Date
12/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4277 01 NC LPC
institution
Provider Business Practice Location Address Details
Address
209 Barium Springs Drive
City
State
Zip
28677-6238
Phone Number
704-873-1011
Fax Number
704-832-2253
person
Provider Business Mailing Address Details
Address
209 Barium Springs Drive
City
State
Zip
28677-6238
Phone Number
704-873-1011
Fax Number
704-832-2253
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4277 (North Carolina)
Definition
Definition to come...
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