DESIRAE DENIECE DRALUCK (NPI# 1699127886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699127886 |
| Entity Type | Individual |
| Full Name | DESIRAE DENIECE DRALUCK |
| Other Name | DESIRAE DENIECE WILEY |
| Credential | M.S. |
| Practice Address |
645 N Walnut St Bloomington IN 47404-3846 |
| Mailing Address |
Po Box 11 Bloomington IN 47402-0011 |
| Practice Telephone | 8123363570 |
| Practice Fax Number | 8123369010 |
| Mailing Telephone | 8123363570 |
| Mailing Fax Number | 8123369010 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
645 N WALNUT ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760503718 | Mark Delong | Counselor | 645 N Walnut St, Bloomington, IN 47404-3846 | 2007-04-03 |
| 1669931341 | Amanda Adhami | Psychologist | 645 N Walnut St, Bloomington, IN 47404-3846 | 2019-03-13 |
| 1710432851 | James Flannery Walker | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2016-08-18 |
| 1154776680 | Andrea Cheek | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2016-05-03 |
| 1235505876 | Kaitlin King | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2015-08-18 |
| 1447626080 | Shelby Robertson | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2015-08-18 |
| 1578939641 | Maria Roncalli | Counselor | 645 N Walnut St, Bloomington, IN 47404-3846 | 2015-08-12 |
| 1053744474 | Amethyst House | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2013-08-21 |
| 1891052908 | Walt Keller | Psychologist | 645 N Walnut St, Bloomington, IN 47404-3846 | 2012-04-13 |
| 1588865505 | Thomas W Cox | Counselor | 645 N Walnut St, Bloomington, IN 47404-3846 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917728 | Courtney Caryl Breyer | Counselor | 1701 American Blvd E Ste 4, Bloomington, MN 55425-1402 | 2020-06-17 |
| 1841832938 | Elizabeth Simon Simon | Counselor | 9193 S Greenridge Ln, Bloomington, IN 47401-9015 | 2019-10-10 |
| 1396220703 | Elizabeth Michelle Utterback | Counselor | 4633 W Richland Plaza Dr, Bloomington, IN 47404-9776 | 2018-10-02 |
| 1003316720 | William Douglas Portis | Counselor | 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704-6075 | 2018-02-19 |
| 1346601804 | Colette Maureen Bisanz-haas | Counselor | 9301 Bryant Ave S Ste 107, Bloomington, MN 55420-3438 | 2016-03-11 |
| 1952791733 | Ryan Conway | Counselor | 900 E 7th St, M005, Bloomington, IN 47405-3905 | 2015-01-30 |
| 1629487749 | Deborah C Wilkin | Counselor | 455 E Wylie Farm Rd, Bloomington, IN 47401-4591 | 2014-08-04 |
| 1518208206 | Jeremy Keith Davis | Counselor | 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 | 2013-03-06 |
| 1053691717 | Finding Your Path To Freedom | Counselor | 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701-5881 | 2011-08-25 |
| 1528376985 | Countermeasures, Inc. | Counselor | 110 N. Center, Bloomington, IL 61701-5002 | 2010-09-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on DESIRAE DENIECE DRALUCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.