Jackson E Ravenscroft, LICSW

NPI #1992110159 in Roslindale, Massachusetts

Provider Information

NPI Number: 1992110159
Entity Type: Individual
Name: Jackson E Ravenscroft, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LICSW
Enumeration Date: Jun 26, 2014
Last Updated: Nov 8, 2023

Practice Location

Address: 43 CUMMINS HWY
City: Roslindale
State: Massachusetts
ZIP Code: 02131-2523
Phone: (617) 306-5049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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