Draluck, Desirae Deniece

Draluck, Desirae Deniece is an individual health care provider with primary practice located at 727 W 2Nd St , Bloomington IN 47403-2209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Draluck, Desirae Deniece can be contacted via phone (812) 353-3450.

Contact Information

Primary practice address
727 W 2Nd St Bloomington IN 47403-2209
Phone: (812) 353-3450
Fax: (812) 353-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39003893A Indiana

Profile Details

NPI number 1699127886
LBN Legal business name Draluck, Desirae Deniece
Credentials LMHC, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Feb 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699127886 NPPES
Indiana MEDICAID 300070376

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