Individual provider · Type 1 NPI

Raven Lynn Juergensen, APCC, ATR-P

Mental Health Counselor · Los Angeles, CA

NPI number 1770460883 Active

Practice location

2904 W Sunset Blvd Ste 6
Los Angeles, CA 90026-7308

Call (213) 534-7013 Map

Mailing address

1650 N Adamson St
Los Angeles, CA 90026-7082

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPCC19492 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1770460883

Raven Lynn Juergensen, APCC, ATR-P's National Provider Identifier is 1770460883, issued on Aug 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 4, 2025.