Raven, Resa Eileen

Raven, Resa Eileen is an sole proprietor health care provider with primary practice located at 2118 Caton Way Sw , Olympia WA 98502-1105. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Raven, Resa Eileen can be contacted via phone (360) 866-8981.

Contact Information

Primary practice address
2118 Caton Way Sw Olympia WA 98502-1105
Phone: (360) 866-8981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PY 60115237 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 60115237 Washington
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY 60115237 Washington

Profile Details

NPI number 1407120959
LBN Legal business name Raven, Resa Eileen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2012
Last updated Mar 1st, 2012 - about 13 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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