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Individual

SCOTT DENNIS REAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDC

Contact information

Practice address
1800 LANDMARK RD, KERRVILLE, TX 78028-7175
(830) 353-3775
Mailing address
1800 LANDMARK RD, KERRVILLE, TX 78028-7175
(830) 353-3775

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15850
TX
101Y00000X
Counselor

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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