Mosley, Raven

Mosley, Raven is an individual health care provider with primary practice located at P.O Box 1062 , Kelso WA 98632-2315. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mosley, Raven can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
P.O Box 1062 Kelso WA 98632-2315
Phone: (360) 423-0203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C7502 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61551630 Washington

Profile Details

NPI number 1033635917
LBN Legal business name Mosley, Raven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2017
Last updated May 23rd, 2024 - about 2 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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