Individual provider · Type 1 NPI
Raegan Lashawn Quattlebaum
Professional Counselor · Denver, CO
NPI number
1881276996
Active
Practice location
16199 Green Valley Ranch Blvd Apt 3024
Denver, CO 80239-5727
Mailing address
18444 E 54th Ave
Denver, CO 80249-8794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0020852 (CO) |
| Professional Counselor Primary | 101YP2500X | LPC.0020852 (CO) |
Professional Counselor: Definition to come...
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About NPI 1881276996
Raegan Lashawn Quattlebaum's National Provider Identifier is 1881276996, issued on Apr 27, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Denver, CO. The record was last updated on Aug 21, 2024.