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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAVEN KETURAH ELLIS, LCPC

Active

RAVEN KETURAH ELLIS, LCPC is a Professional Counselor healthcare provider located in RANDALLSTOWN, Maryland. NPI 1003909664 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · RANDALLSTOWN, MD

Registration Details

NPI Number
1003909664
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2006 (19.868900651034 yrs)
Last Updated
Jul 8, 2007
License
LC1921 (MD)

Practice Information

Address
3525 RESOURCE DRIVE ROOM C47
RANDALLSTOWN, MD, 21133
Browse MD providers · Browse ZIP 21133
Phone
4106557655
Fax
4106553941
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in RANDALLSTOWN, MD

Name Credential NPI
PROF. ASNAH PERLMAN M.ED., LCPC, NCC 1386869683
MRS. SOPHIA C COX LCPC 1639313828
TAHNA PURNELL LCPC 1174938617
VERONICA GRIMES 1861873838
BRITTANY WALKER LCPC 1982122859
BONIFACE ONAKINOR LCPC 1235711375
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.