Yeb Raven, APPC
Counselor, Mental Health in Sonora, CA. Individual provider (NPI-1).
NPI number1861220105
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1861220105
- Entity type
- Individual (NPI-1)
- Name
- Yeb Raven
- Credential
- APPC
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 16888 | – | Yes |
Practice location
905 Mono WaySonora, CA 95370-5206
Phone 209-928-5461
Mailing address
299 Bonanza RdSonora, CA 95370-5551
Phone 209-890-7459
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