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NPI Code Detail

MEDICARE: MARCI LARAE REAGAN

MEDICARE: MARCI LARAE REAGAN
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 Counselor92411TX

General Provider Information

NPI Number : 1164351995
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCI LARAE REAGAN
Provider Business Mailing Address
First Line : PO BOX 1391
Second Line :
City : BROWNWOOD
State : TX
Zip : 76804-1391
Country : US
Telephone Number : 325-647-4357
Fax Number : 325-646-0919
Provider Business Practice Location Address
First Line : 205 CENTER AVE
Second Line :
City : BROWNWOOD
State : TX
Zip : 76801-2919
Country : US
Telephone Number : 325-649-4357
Fax Number : 325-646-0919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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