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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAEGAN D DETTLAFF, LPC

Active

RAEGAN D DETTLAFF, LPC is a Professional Counselor healthcare provider located in LEBANON, Missouri. NPI 1639870439 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LEBANON, MO

Registration Details

NPI Number
1639870439
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2023 (3.3914218423219 yrs)
Last Updated
Mar 25, 2025
License
2025009356 (MO)

Practice Information

Address
860 LYNN ST
LEBANON, MO, 655363810
Browse MO providers · Browse ZIP 65536
Phone
8448538937
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in LEBANON, MO

Name Credential NPI
MRS. BETSY HACKER WAHL M.S. 1508837857
MRS. MARY E ISAACS M.S. 1134276504
SUZETTE RICHMOND LPC 1912044132
MICHAELA LANE CARROLL PLPC 1720129067
RUTH ROADY-MOSELEY LPC 1669517249
SINDY ARMSTRONG LPC 1902931165
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.