Provider Demographics
NPI:1598155343
Name:RAGSDALE, LAURALEE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LAURALEE
Middle Name:
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:LEE
Other - Last Name:RAGSDALE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2611 FOOTS CREEK L FORK RD
Mailing Address - Street 2:
Mailing Address - City:GOLD HILL
Mailing Address - State:OR
Mailing Address - Zip Code:97525-5723
Mailing Address - Country:US
Mailing Address - Phone:925-980-4269
Mailing Address - Fax:
Practice Address - Street 1:109 W MAIN STREET SUITE 2
Practice Address - Street 2:
Practice Address - City:ROGUE RIVER
Practice Address - State:OR
Practice Address - Zip Code:97537-4554
Practice Address - Country:US
Practice Address - Phone:925-980-4269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84369106H00000X
ORT1306106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist