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NPI Code Detail

MEDICARE: REAGON CARA HEIKES LPCC

MEDICARE: REAGON CARA HEIKES LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCBT-2022-0824NM

General Provider Information

NPI Number : 1154895324
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGON CARA HEIKES LPCC
Provider Business Mailing Address
First Line : 4730 BECKNER RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-3691
Country : US
Telephone Number : 505-989-4500
Fax Number : 505-443-8313
Provider Business Practice Location Address
First Line : 4730 BECKNER RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-3691
Country : US
Telephone Number : 505-989-4500
Fax Number : 505-443-8313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2019
Last Update Date : 03/04/2026

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Directions to “ REAGON CARA HEIKES LPCC” Practice Location

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