Raven Logan
NPI #1043865835 in Ripley, Mississippi
Provider Information
- NPI Number
- 1043865835
- Entity Type
- Individual
- Name
- Raven Logan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 7, 2019
- Last Updated
- Aug 7, 2019
Practice Location
- Address
- 2441A COUNTY ROAD 501
- City
- Ripley
- State
- Mississippi
- ZIP Code
- 38663-9677
- Phone
- (662) 837-8154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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