Provider Demographics
NPI:1861706053
Name:NAEGELI, DENISE ANNE
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:ANNE
Last Name:NAEGELI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1244
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-0097
Mailing Address - Country:US
Mailing Address - Phone:541-272-1382
Mailing Address - Fax:
Practice Address - Street 1:331 NE 6TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-2975
Practice Address - Country:US
Practice Address - Phone:541-272-1382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor