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NPI Code Detail

MEDICARE: DESIREE RAUB

MEDICARE: DESIREE RAUB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor39005806AIN

General Provider Information

NPI Number : 1831973536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE RAUB
Provider Business Mailing Address
First Line : 1440 EVANS AVE
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-1824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2036
Country : US
Telephone Number : 317-338-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2023
Last Update Date : 03/11/2026

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Directions to “ DESIREE RAUB ” Practice Location

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