person
Raegan D Dettlaff, PLPC
Mental Health Counselor in Lebanon, Missouri
NPI 1639870439

Raegan D Dettlaff is a Mental Health Counselor based in Clinton, MO and is specialized in Mental Health. Raegan D Dettlaff practices in Lebanon, MO and has the professional credentials of PLPC. The NPI Number for Raegan D Dettlaff is 1639870439 and holds a License No. 2023009440 (Missouri).

The current practice location address for Raegan D Dettlaff is 860 Lynn St, Lebanon, MO and can be reached out via phone at 844-853-8937.

Location: 860 Lynn St, Lebanon, MO, 64735-8804
person
Provider Profile Details
NPI Number
1639870439
Provider Name
Raegan D Dettlaff
Credential
PLPC
Provider Entity Type
Individual
Gender
Female
Address
860 Lynn St, Lebanon, MO, 64735-8804
Phone Number
844-853-8937
Fax Number
Provider Enumeration Date
03/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
860 Lynn St
City
State
Zip
65536-3810
Phone Number
844-853-8937
Fax Number
person
Provider Business Mailing Address Details
Address
860 Lynn St
City
State
Zip
65536-3810
Phone Number
844-853-8937
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2023009440 (Missouri)
Definition
Definition to come...
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