Raven Royal
NPI #1134540362 in Manteca, California
Provider Information
- NPI Number
- 1134540362
- Entity Type
- Individual
- Name
- Raven Royal
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Dec 13, 2013
- Last Updated
- Sep 6, 2022
Practice Location
- Address
- 129 E CENTER ST STE 3
- City
- Manteca
- State
- California
- ZIP Code
- 95336-4648
- Phone
- (209) 239-5553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Case Manager/Care Coordinator |
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