Individual
ERIN REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1117 N JACKSON ST, BLOOMINGTON, IN 47404-3385
(812) 671-3463
Mailing address
1117 N JACKSON ST, BLOOMINGTON, IN 47404-3385
(812) 671-3463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002667A
IN
Other
Enumeration date
01/07/2015
Last updated
05/13/2015
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