Active NPIIndividual providerSole proprietor

Dominique Ravin

Counselor in Montclair, New Jersey

NPI Number1679313977
Practice location
460 Bloomfield Ave Ste Office2, Montclair, NJ 07042-3582
Fax
—
Last updated
May 27, 2024

Dominique Ravin is a Counselor based in Montclair, NJ. Dominique Ravin practices in Montclair, NJ. The NPI Number for Dominique Ravin is 1679313977 and holds a License No. 37AC00734200. The current practice location address for Dominique Ravin is 460 Bloomfield Ave Ste Office2, Montclair, NJ 07042-3582 and can be reached out via phone at 732-674-9857.

Provider Profile Details

NPI Number
1679313977
Provider Name
Dominique Ravin
Provider Entity Type
Individual
Gender
Female
Address
460 Bloomfield Ave Ste Office2, Montclair, NJ 07042-3582
Phone Number
732-674-9857
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 27, 2024
Last Update Date
May 27, 2024
Certification Date
May 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Bloomfield Ave Ste Office2
Montclair, NJ 07042-3582
Zip
07042-3582
Phone Number
732-674-9857
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
97 Vivante Blvd # 303
Punta Gorda, FL 33950-2025
City
Punta Gorda
State
FL
Zip
33950-2025
Phone Number
732-674-9857

License Information

License Number
37AC00734200
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dominique Ravin?

The NPI number of Dominique Ravin is 1679313977. It was assigned on May 27, 2024 and is currently active in the NPPES registry.

What is the specialty of Dominique Ravin?

Dominique Ravin is registered under the primary taxonomy Counselor (code 101Y00000X), licensed under license number 37AC00734200.

Where does Dominique Ravin practice?

The practice location is 460 Bloomfield Ave Ste Office2, Montclair, NJ 07042-3582. The office can be reached at 732-674-9857 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679313977 directly on the NPPES registry website.

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