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Contact Information

MAURA C REAGAN, MA, LMHCA, R-DMT
2002 156TH AVE NE
BELLEVUE, WA98007-3827
 Phone: 800-682-6934
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Dance Therapist

225600000X
Indicates primary specialty

NPI Profile & details for MAURA C REAGAN · (Female)

NPI Number 1184193179
Status Active
Credentials MA, LMHCA, R-DMT
Entity Individual
Enumeration date 11/19/2018
Last updated 11/19/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # R-DMT-2346
  • WA License # MC60885895
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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