Individual
REAGAN COURLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,NCC, LCMHC
Contact information
Practice address
423 CRICKET HEARTH RD, SANFORD, NC 27330-6335
(919) 656-0596
Mailing address
423 CRICKET HEARTH RD, SANFORD, NC 27330-6335
(919) 656-0596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9023
NC
Other
Enumeration date
12/03/2014
Last updated
06/08/2023
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