Ravin, Blake Campbell
Ravin, Blake Campbell is an sole proprietor health care provider with primary practice located at 209 Barium Springs Drive , Statesville NC 28677-6238. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ravin, Blake Campbell can be contacted via phone (704) 873-1011.Contact Information
Primary practice address
209 Barium Springs Drive
Statesville NC 28677-6238
Phone: (704) 873-1011
Fax: (704) 832-2253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4277 | North Carolina |
Profile Details
| NPI number | 1538405121 |
|---|---|
| LBN Legal business name | Ravin, Blake Campbell |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2012 |
| Last updated | Dec 31st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538405121 | NPPES |
| North Carolina | Other | 4277 | LPC |
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