Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan A Van Ravenswaay

Individual provider Mental Health Counselor · NPI 1710863436

Ivan A Van Ravenswaay is a Mental Health Counselor in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

2755 N Centre Court Dr
Tucson, AZ 85705-4281
Phone: (520) 390-9243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC-21190 (AZ)

Record details

NPI number1710863436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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