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Individual
SARA REGAN
Active
Individual
SARA REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT 1
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
R1409961120
CA
Other
Enumeration date
12/07/2020
Last updated
12/08/2020
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