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Raven Lesure, MS
Mental Health Counselor in Crystal River, Florida
NPI 1629648183

Raven Lesure is a Mental Health Counselor based in Crystal River, FL and is specialized in Mental Health. Raven Lesure practices in Crystal River, FL and has the professional credentials of MS. The NPI Number for Raven Lesure is 1629648183 and holds a License No. (Florida).

The current practice location address for Raven Lesure is 582 Se 7Th Ave Ste B, Crystal River, FL and can be reached out via phone at 352-228-8829.

Location: 582 Se 7Th Ave Ste B, Crystal River, FL, 34429-4840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629648183
Provider Name
Raven Lesure
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
582 Se 7Th Ave Ste B, Crystal River, FL, 34429-4840
Phone Number
352-228-8829
Fax Number
Provider Enumeration Date
06/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
582 Se 7Th Ave Ste B
City
Crystal River
State
Florida
Zip
34429-4840
Phone Number
352-228-8829
Fax Number
person
Provider Business Mailing Address Details
Address
582 Se 7Th Ave Ste B
City
Crystal River
State
Florida
Zip
34429-4840
Phone Number
352-228-8829
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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