Raven Vangossen

NPI #1285004275 in Pineville, Louisiana

Provider Information

NPI Number
1285004275
Entity Type
Individual
Name
Raven Vangossen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Oct 2, 2015
Last Updated
Oct 2, 2015

Practice Location

Address
1609 DONAHUE FERRY RD
ZIP Code
71360-5149
Phone
(318) 703-9185

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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