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Individual

MRS. REAGAN R THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., LPC, LMHP

Contact information

Practice address
2622 AVENUE C, SCOTTSBLUFF, NE 69361-1680
(308) 632-8547
(308) 632-0135
Mailing address
2622 AVENUE C, SCOTTSBLUFF, NE 69361-1680
(308) 632-8547
(308) 632-0135

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7503
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47083791626
NE
Enumeration date
10/26/2006
Last updated
10/05/2020
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