Ravenlou Wamsley
Peer Specialist in Logan, WV(View on Map)
Full Name
Ravenlou Wamsley
NPI Number
1134845373
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/19/2022
Specialties
(Taxonomies)Licenses
State
West Virginia
License Number
22-9154
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 176
174 LMAH CENTER RD
City
Logan
Logan
State
WV
WV
Postal Code
25601-0176
25601-4058
Country
US
US
Telephone Number
(304) 792-7130
(304) 792-7130
Identifiers
Identifier
22-9154
Identifier State
WV
Identifier Issuer
WV CERTIFICATION BOARD FOR ADDICTION AND PREVENTION PROFESSIONALS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/19/2022