Individual provider · Type 1 NPI

Bryan Van Ravenhorst

Mental Health Counselor · Fresno, CA

NPI number 1609545284 Active

Practice location

1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713

Mailing address

PO Box 26813
Fresno, CA 93729-6813

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X105285 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1609545284

Bryan Van Ravenhorst's National Provider Identifier is 1609545284, issued on Sep 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fresno, CA. The record was last updated on Aug 24, 2023.