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Individual
REGINA CAROLYN HALL
Active
Individual
REGINA CAROLYN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000260F7
HAP
MI
01
—
019027
MIDWEST MEDICAID
MI
01
—
750910932
BCCHRY
MI
01
—
XX19153
HEALTHPLUS
MI
Enumeration date
01/13/2007
Last updated
08/05/2022
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