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Blaise Lynn Reagle, LPC
Mental Health Counselor in Rapid City, South Dakota
NPI 1972131654

Blaise Lynn Reagle is a Mental Health Counselor based in Rapid City, SD and is specialized in Mental Health. Blaise Lynn Reagle practices in Rapid City, SD and has the professional credentials of LPC. The NPI Number for Blaise Lynn Reagle is 1972131654 and holds a License No. 87241516 (South Dakota).

The current practice location address for Blaise Lynn Reagle is 3625 5Th St Ste 100, Rapid City, SD and can be reached out via phone at 605-718-1095.

Location: 3625 5Th St Ste 100, Rapid City, SD, 57701-6002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972131654
Provider Name
Blaise Lynn Reagle
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3625 5Th St Ste 100, Rapid City, SD, 57701-6002
Phone Number
605-718-1095
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3625 5Th St Ste 100
City
Rapid City
State
South Dakota
Zip
57701-6002
Phone Number
605-718-1095
Fax Number
person
Provider Business Mailing Address Details
Address
3625 5Th St Ste 100
City
Rapid City
State
South Dakota
Zip
57701-6002
Phone Number
605-718-1095
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
87241516 (North Dakota)
Definition
Definition to come...
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