Individual
PAMELA REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1229 LINCOLN HWY, VAN WERT, OH 45891-1877
(419) 238-1695
(419) 238-1007
Mailing address
PO BOX 150, VAN WERT, OH 45891-0150
(419) 238-1695
(419) 238-1007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1801298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378056
—
OH
Enumeration date
10/08/2018
Last updated
05/30/2024
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