Individual
MISS ALEXANDRA SARAH REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1 MEDICAL CENTER BLVD, 7TH FLOOR, WINSTON SALEM, NC 27103
(336) 716-6883
Mailing address
1 PARK VISTA LN STE 410, WINSTON SALEM, NC 27101-2868
(336) 655-4181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27848
NC
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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