person
Rachael Marble Leary, MA,LPC
Professional Counselor in Redmond, Oregon
NPI 1043638448

Rachael Marble Leary is a Professional Counselor based in Bend, OR and is specialized in Professional. Rachael Marble Leary practices in Redmond, OR and has the professional credentials of MA,LPC. The NPI Number for Rachael Marble Leary is 1043638448 and holds a License No. 21-12-20128 (Oregon).

The current practice location address for Rachael Marble Leary is 2424 Sw Pumice Ave, Redmond, OR and can be reached out via phone at 541-668-6141 and via fax at 541-236-0332. You can also correspond with Rachael Marble Leary through the mailing address at 70 SW CENTURY DR STE 100-5038, BEND, OR - 97702-3557 (mailing address contact number: 541-668-6141).

Location: 2424 Sw Pumice Ave, Redmond, OR, 97702-3557
person
Provider Profile Details
NPI Number
1043638448
Provider Name
Rachael Marble Leary
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
2424 Sw Pumice Ave, Redmond, OR, 97702-3557
Phone Number
541-668-6141
Fax Number
541-236-0332
Provider Enumeration Date
04/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043638448 01 NPI1
500672516 05 OR
institution
Provider Business Practice Location Address Details
Address
2424 Sw Pumice Ave
City
State
Zip
97756-6729
Phone Number
541-668-6141
Fax Number
541-236-0332
person
Provider Business Mailing Address Details
Address
70 Sw Century Dr Ste 100-5038
City
State
Zip
97702-3557
Phone Number
541-668-6141
Fax Number
541-236-0332
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C6420 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C6420 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
21-12-20128 (Oregon)
Definition
Definition to come...
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