| Doctor Name: | DUSTIN REAGIN |
| NPI Number: | 1013244748 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | |
| Business Practice Address: | 2100 Napa Vallejo Hwy Napa, CA - 945586293 |
| Business Phone Number: | 4154763902 |
| Business Fax Number: | |
| Mailing Address: | 2100 Napa Vallejo Hwy, NAPA |
| State: | CA |
| Postal Code: | 945586293 |
| Phone Number: | 4154763902 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2009 |
| NPI Last Update Date: | 05/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |