Healthcare Provider Details

I. General information

NPI: 1033652276
Provider Name (Legal Business Name): DENELL RAGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2016
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2261 MARKET ST STE 10222
SAN FRANCISCO CA
94114-1612
US

IV. Provider business mailing address

PO BOX 126
TERRA ALTA WV
26764-0126
US

V. Phone/Fax

Practice location:
  • Phone: 415-360-3348
  • Fax:
Mailing address:
  • Phone: 603-540-7704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC12646
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: