Individual
ALISA INDIANA REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
433 TURK ST, SAN FRANCISCO, CA 94102-3329
(415) 928-7800
(415) 928-3710
Mailing address
433 TURK ST, SAN FRANCISCO, CA 94102-3329
(415) 928-7800
(415) 928-3710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1308080518
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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