Individual
REAGAN ELIZABETH DOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
(304) 525-8026
Mailing address
24 LEE RD, HUNTINGTON, WV 25704-9266
(304) 633-6535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
Primary
RBT-24-392033
WV
Other
Enumeration date
08/13/2024
Last updated
03/25/2025
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