Organization
LAURA REAGAN LCSW-C PSYCHOTHERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORI MATTON (THERAPIST)
(703) 402-1551
Entity
Organization
Contact information
Practice address
645 BALTIMORE ANNAPOLIS BLVD STE 220, SEVERNA PARK, MD 21146-3934
(703) 402-1551
(703) 402-1551
Mailing address
645 BALTIMORE ANNAPOLIS BLVD STE 220, SEVERNA PARK, MD 21146-3934
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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