Individual
REAGAN NICOLE HUDNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N VINE, MAGNOLIA, AR 71753-2842
(870) 864-2417
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 864-2417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2207002
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/10/2020
Last updated
07/19/2022
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