Individual provider · Type 1 NPI

Deirdrah Renee Racine, QMHP

Mental Health Counselor · Roseburg, OR

NPI number 1437761301 Active

Practice location

850 SE Rose St
Roseburg, OR 97470-3942

Fax (541) 900-1507

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XINTERN (OR)

Mental Health Counselor: Definition to come...

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About NPI 1437761301

Deirdrah Renee Racine, QMHP's National Provider Identifier is 1437761301, issued on Aug 20, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Aug 20, 2020.