Individual provider · Type 1 NPI

Raegan Deaton

Mental Health Counselor · Moore, OK

NPI number 1477295699 Active

Practice location

1400 SE 4th St Ste A
Moore, OK 73160-7328

Mailing address

1401 SE 13th St
Moore, OK 73160-8044

Other practice locations

  • 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 · (405) 424-7711

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477295699

Raegan Deaton's National Provider Identifier is 1477295699, issued on Apr 8, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Nov 22, 2023.