Brundige, Raven

Brundige, Raven is an individual health care provider with primary practice located at 722 Hollywood Ln , Mansfield OH 44907-1612. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Brundige, Raven can be contacted via phone (567) 274-9226.

Contact Information

Primary practice address
722 Hollywood Ln Mansfield OH 44907-1612
Phone: (567) 274-9226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E.2303797-SUPV Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.2303797 Ohio

Profile Details

NPI number 1912403510
LBN Legal business name Brundige, Raven
Credentials LPCCS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2018
Last updated Jun 3rd, 2025 - 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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