Leary, Rachael Marble

Leary, Rachael Marble is an individual health care provider with primary practice located at 2424 Sw Pumice Ave , Redmond OR 97756-6729. She recently has 3 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Leary, Rachael Marble can be contacted via phone (541) 668-6141.

Contact Information

Primary practice address
2424 Sw Pumice Ave Redmond OR 97756-6729
Phone: (541) 668-6141
Fax: (541) 236-0332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21-12-20128 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C6420 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C6420 Oregon

Profile Details

NPI number 1043638448
LBN Legal business name Leary, Rachael Marble
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Feb 7th, 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 1043638448 NPPES
Other 1043638448 NPI1
MEDICAID 500672516 NPI1

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