Individual provider · Type 1 NPI

Salathiel Reagan, MS

Mental Health Counselor · Fort Wayne, IN

NPI number 1285975847 Active

Practice location

2100 Goshen Rd
Fort Wayne, IN 46808-1493

Fax (260) 471-4263

Mailing address

850 N Harrison St, Attn: Anne Lawson
Warsaw, IN 46580

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285975847

Salathiel Reagan, MS's National Provider Identifier is 1285975847, issued on Mar 7, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 7, 2013.