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Individual
MR. REGENT CHAMPIGNY
Active
Individual
MR. REGENT CHAMPIGNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0867
NH
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/28/2012
Last updated
05/25/2016
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