RAVEN COUNSELING SERVICES, INC.
Agencies at Commerce Dr, Conyers, GA

License number
Georgia LPC004669
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: CASSANDRA E CONTON PH.D, LPC
Title: CEO
Phone: (770) 679-4043
Address
Address
867 Commerce Dr SW SUITE 200-400, Conyers, GA 30094
National Provider ID: 1043593791
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAVEN COUNSELING SERVICES, CORPORATION

Conyers, GA

Industry:
Individual/Family Services, Services-Misc
Registration:
Oct 4, 2009
Addresses:
867 Commerce Dr SUITE 200, Conyers, GA 30094 (Physical)
1803 Over Lk Dr SE, Conyers, GA 30013
State ID:
09069442
Business type:
Domestic Profit Corporation
Chief Executive Officer, Principals:
Eyvonne Cassandra Conton (Secretary), 867 Commerce Dr SUITE 200, Conyers, GA 30094 (Physical),Cassandra E. Conton (Chief Executive Officer, Principal)
Agent:
Cassandra Eyvonne Conton,2354Brentmoore Pt, Conyers, GA (Physical)

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