| Kwan Reagon, | |
|
6330 Thornton Ave, Newark, CA 94560-3734 | |
| (510) 792-4357 | |
| Not Available |
| Full Name | Kwan Reagon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6330 Thornton Ave, Newark, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053635706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kwan Reagon, 252 Wayne Ave Apt D, Oakland, CA 94606-1234 Ph: () - | Kwan Reagon, 6330 Thornton Ave, Newark, CA 94560-3734 Ph: (510) 792-4357 |
Patricia L Davidson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Thornton Ave, Newark, CA 94560 Phone: 510-792-4357 | |
Robert Lee Cash, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Thornton Ave, Newark, CA 94560 Phone: 510-792-4357 | |
Vernita Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Thornton Ave, Newark, CA 94560 Phone: 510-792-4357 | |
David Schwitalla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Thornton Ave, Newark, CA 94560 Phone: 510-792-4357 | |
Jeanette Makahilahila Ahkoi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Thornton Ave, Newark, CA 94560 Phone: 510-792-4357 | |
Ms. Elizabeth Kathleen Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Thornton Ave, Newark, CA 94560 Phone: 510-792-4357 | |
Dennis Findley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Thornton Ave, Newark, CA 94560 Phone: 510-792-4357 |