Individual provider · Type 1 NPI
Reagan Lauren Jackso9n
Mental Health Counselor · Tamarac, FL
NPI number
1053243402
Active
Practice location
9281 NW 57th St Apt 303
Tamarac, FL 33351-4376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH28477 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1053243402
Reagan Lauren Jackso9n's National Provider Identifier is 1053243402, issued on Jun 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tamarac, FL. The record was last updated on Jun 1, 2026.