Individual provider · Type 1 NPI

Raegan D. Dettlaff, LPC

Professional Counselor · Lebanon, MO

NPI number 1639870439 Active

Practice location

860 Lynn St
Lebanon, MO 65536-3810

Call (844) 853-8937 Map

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2025009356 (MO)

Professional Counselor: Definition to come...

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About NPI 1639870439

Raegan D. Dettlaff, LPC's National Provider Identifier is 1639870439, issued on Mar 17, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lebanon, MO. The record was last updated on Mar 25, 2025.