RAVEN EGGSON


Address: 4659 N 39th St, Milwaukee, WI 53209-5859
Phone: 4146906575

RAVEN EGGSON (NPI# 1205299526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205299526
Entity Type Individual
Full Name RAVEN EGGSON
Practice Address 4659 N 39th St
Milwaukee
WI 53209-5859
Practice Telephone 4146906575
Mailing Telephone 4146906575
Enumeration Date 2016-04-04
Last Update Date 2016-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 510-228 WI Behavioral Health & Social Service Providers

Office Location

Street Address 4659 N 39TH ST
City MILWAUKEE
State WI
Zip Code 53209-5859

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1891248340 Amy L May Nurse Practitioner 3303 W Good Hope Rd, Milwaukee, WI 53209 2016-08-02
1871980193 Alan R Rosenthal Pharmacist 6930 N Beech Tree Dr, Milwaukee, WI 53209 2015-04-24
1104212380 Reema Shah Student in an Organized Health Care Education/Training Program 2400 W. Villard Ave, Milwaukee, WI 53209 2015-04-14
1336534403 Robert Michael Kitsis Family Medicine 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 2015-04-05
1962891994 Kls Community Outreach Teen Center Consulting and Management L.L.C. Public Health or Welfare 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 2015-01-14
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609336106 Orenda Counseling Services, LLC Marriage & Family Therapist 1614 N Franklin Pl Lowr Unit, Milwaukee, WI 53202-2202 2019-03-21
1831662535 Mary Ehrgood Marriage & Family Therapist Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 2019-01-04
1851831887 Felicia Richardson Marriage & Family Therapist 2479 N 49th St, Milwaukee, WI 53210-2809 2017-02-23
1427434794 Wisconsin Lutheran Child & Family Service, Inc. Marriage & Family Therapist 9550 W Brown Deer Rd, Milwaukee, WI 53224-2012 2015-08-10
1407232150 Wisconsin Lutheran Child & Family Service Marriage & Family Therapist 2229 W Greenfield Ave, Milwaukee, WI 53204-1910 2015-08-05
1629407226 Dhanya Jayadevan Nair Marriage & Family Therapist 3200 W. Highland Blvd., Milwaukee, WI 53208 2013-11-04
1124371703 Latreeta Alice Burns Marriage & Family Therapist 6544 W Lawn Ave, Milwaukee, WI 53218-3019 2012-10-19
1386999415 Lubna Ali Marriage & Family Therapist 6001 W Center St Ste 100, Milwaukee, WI 53210-2154 2012-07-15
1730472481 Raquel Hernandez/oliveros Marriage & Family Therapist 3403 S 12th St, Milwaukee, WI 53215-5007 2011-05-26
1649400532 Catherine J Gietzen Marriage & Family Therapist 4434 N Maryland Ave, Milwaukee, WI 53211-1651 2009-07-26
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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