Individual provider · Type 1 NPI

Kwan Reagon

Addiction (Substance Use Disorder) Counselor · Newark, CA

NPI number 1053635706 Active

Practice location

6330 Thornton Ave
Newark, CA 94560-3734

Call (510) 792-4357 Map

Mailing address

252 Wayne Ave Apt D
Oakland, CA 94606-1234

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053635706

Kwan Reagon's National Provider Identifier is 1053635706, issued on Mar 24, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, CA. The record was last updated on Mar 24, 2010.