Long, Raeven Mccrodden

Long, Raeven Mccrodden is an individual health care provider with primary practice located at 1463 Love Memorial School Rd , Lincolnton NC 28092-7091. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Long, Raeven Mccrodden can be contacted via phone (704) 735-5649.

Contact Information

Primary practice address
1463 Love Memorial School Rd Lincolnton NC 28092-7091
Phone: (704) 735-5649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1841804747
LBN Legal business name Long, Raeven Mccrodden
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2020
Last updated Jun 6th, 2023 - about last year

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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