person
Raven Fogg
Mental Health Counselor in Las Vegas, Nevada
NPI 1700287455

Raven Fogg is a Mental Health Counselor based in Las Vegas, NV and is specialized in Mental Health. Raven Fogg practices in Las Vegas, NV. The NPI Number for Raven Fogg is 1700287455 and holds a License No. (Nevada).

The current practice location address for Raven Fogg is 10620 W Alexander Rd, Las Vegas, NV and can be reached out via phone at 702-331-3818.

Location: 10620 W Alexander Rd, Las Vegas, NV, 89129-3526
person
Provider Profile Details
NPI Number
1700287455
Provider Name
Raven Fogg
Credential
Provider Entity Type
Individual
Gender
Female
Address
10620 W Alexander Rd, Las Vegas, NV, 89129-3526
Phone Number
702-331-3818
Fax Number
Provider Enumeration Date
09/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10620 W Alexander Rd
City
State
Zip
89129-3526
Phone Number
702-331-3818
Fax Number
person
Provider Business Mailing Address Details
Address
10620 W Alexander Rd
City
State
Zip
89129-3526
Phone Number
702-331-3818
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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