Individual provider · Type 1 NPI

Ajanique Raven

Addiction (Substance Use Disorder) Counselor · Antioch, CA

NPI number 1396517090 Active

Practice location

3707 Sunset Ln
Antioch, CA 94509-6101

Call (925) 522-0124 Map

Mailing address

2301 Sycamore Dr Apt 108
Antioch, CA 94509-2930

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1527930923 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1396517090

Ajanique Raven's National Provider Identifier is 1396517090, issued on Oct 25, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antioch, CA. The record was last updated on Oct 25, 2023.