South, Raven-Amber

South, Raven-Amber is an individual health care provider with primary practice located at 3161 Dwight Rd , Elk Grove CA 95758-6456. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. South, Raven-Amber can be contacted via phone (916) 427-7141.

Contact Information

Primary practice address
3161 Dwight Rd Elk Grove CA 95758-6456
Phone: (916) 427-7141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1295261162
LBN Legal business name South, Raven-Amber
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Jun 22nd, 2021 - about 5 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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