Candy, Ravenna

Candy, Ravenna is an individual health care provider with primary practice located at 1010 S 146Th St , Burien WA 98168-3669. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Candy, Ravenna can be contacted via phone (206) 241-0990.

Contact Information

Primary practice address
1010 S 146Th St Burien WA 98168-3669
Phone: (206) 241-0990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00007991 Washington

Profile Details

NPI number 1346465606
LBN Legal business name Candy, Ravenna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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