Provider Demographics
NPI:1922476167
Name:STEELE, RAIGAN C (LCMHC)
Entity Type:Individual
Prefix:
First Name:RAIGAN
Middle Name:C
Last Name:STEELE
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5288 S COMMERCE DR STE B258
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-4309
Mailing Address - Country:US
Mailing Address - Phone:801-917-9517
Mailing Address - Fax:
Practice Address - Street 1:5288 S COMMERCE DR STE B258
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-4309
Practice Address - Country:US
Practice Address - Phone:801-917-9517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-04
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT374953-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health