Individual provider · Type 1 NPI
Ivan A. Van Ravenswaay
Mental Health Counselor · Tucson, AZ
NPI number
1710863436
Active
Practice location
2755 N Centre Court Dr
Tucson, AZ 85705-4281
Mailing address
317 E Cottonwood Ln Ste B4
Casa Grande, AZ 85122-2517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC-21190 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1710863436
Ivan A. Van Ravenswaay's National Provider Identifier is 1710863436, issued on Aug 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucson, AZ. The record was last updated on Aug 15, 2025.