Individual
ANITA LOUISE REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4200 JENNY LIND RD STE C, FORT SMITH, AR 72901-7632
(479) 561-7600
Mailing address
3407 BLAKE RD, VAN BUREN, AR 72956-7476
(479) 462-7984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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