Individual
REAGON CARA HEIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0200511
NM
101YP2500X
Professional Counselor
Primary
CBT-2022-0824
NM
Other
Enumeration date
01/21/2019
Last updated
03/04/2026
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