Individual
REAGAN FUNKHOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 S PROMENADE BLVD STE 202, ROGERS, AR 72758-8609
(479) 408-4197
(888) 977-2956
Mailing address
1707 LINWOOD DR STE B, PARAGOULD, AR 72450-5365
(870) 604-4455
(888) 977-2956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1958-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237237719
—
AR
Enumeration date
06/13/2008
Last updated
09/11/2025
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