Raquelle Mariah Degrote

NPI #1104397819 in Bethel, Alaska

Provider Information

NPI Number: 1104397819
Entity Type: Individual
Name: Raquelle Mariah Degrote
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 7, 2018
Last Updated: Dec 7, 2018

Practice Location

Address: 1360 CALISTA DRIVE
City: Bethel
State: Alaska
ZIP Code: 99559
Phone: (907) 543-6830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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